IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0067943.html
   My bibliography  Save this article

The Combined Influence of Distance and Neighbourhood Deprivation on Emergency Department Attendance in a Large English Population: A Retrospective Database Study

Author

Listed:
  • Gavin M Rudge
  • Mohammed A Mohammed
  • Sally C Fillingham
  • Alan Girling
  • Khesh Sidhu
  • Andrew J Stevens

Abstract

The frequency of visits to Emergency Departments (ED) varies greatly between populations. This may reflect variation in patient behaviour, need, accessibility, and service configuration as well as the complex interactions between these factors. This study investigates the relationship between distance, socio-economic deprivation, and proximity to an alternative care setting (a Minor Injuries Unit (MIU)), with particular attention to the interaction between distance and deprivation. It is set in a population of approximately 5.4 million living in central England, which is highly heterogeneous in terms of ethnicity, socio-economics, and distance to hospital. The study data set captured 1,413,363 ED visits made by residents of the region to National Health Service (NHS) hospitals during the financial year 2007/8. Our units of analysis were small units of census geography having an average population of 1,545. Separate regression models were made for children and adults. For each additional kilometre of distance from a hospital, predicted child attendances fell by 2.2% (1.7%–2.6% p

Suggested Citation

  • Gavin M Rudge & Mohammed A Mohammed & Sally C Fillingham & Alan Girling & Khesh Sidhu & Andrew J Stevens, 2013. "The Combined Influence of Distance and Neighbourhood Deprivation on Emergency Department Attendance in a Large English Population: A Retrospective Database Study," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-8, July.
    • Handle: RePEc:plo:pone00:0067943
    DOI: 10.1371/journal.pone.0067943
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0067943
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0067943&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0067943?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Béland, François & Lemay, Anne & Boucher, Marcel, 1998. "Patterns of visits to hospital-based emergency rooms," Social Science & Medicine, Elsevier, vol. 47(2), pages 165-179, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Neil, Amanda L. & Chappell, Kate & Wagg, Fiona & Miller, April & Judd, Fiona, 2021. "The Tasmanian Conception to Community (C2C) Study Database 2008-09 to 2013-14: Using linked health administrative data to address each piece in the puzzle," Social Science & Medicine, Elsevier, vol. 284(C).
    2. Wojciech Kisiała & Izabela Rącka & Katarzyna Suszyńska, 2022. "Population Access to Hospital Emergency Departments: The Spatial Analysis in Public Health Research," IJERPH, MDPI, vol. 19(3), pages 1-15, January.
    3. Chien-Lung Chan & Wender Lin & Nan-Ping Yang & K Robert Lai & Hsin-Tsung Huang, 2015. "Pre-Emergency-Department Care-Seeking Patterns Are Associated with the Severity of Presenting Condition for Emergency Department Visit and Subsequent Adverse Events: A Timeframe Episode Analysis," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-16, June.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Gansel, Yannis & Danet, François & Rauscher, Catherine, 2010. "Long-stay inpatients in short-term emergency units in France: A case study," Social Science & Medicine, Elsevier, vol. 70(4), pages 501-508, February.
    2. Lega, Federico & Mengoni, Alessandro, 2008. "Why non-urgent patients choose emergency over primary care services? Empirical evidence and managerial implications," Health Policy, Elsevier, vol. 88(2-3), pages 326-338, December.
    3. Wellstood, Katie & Wilson, Kathi & Eyles, John, 2005. ""Unless you went in with your head under your arm": Patient perceptions of emergency room visits," Social Science & Medicine, Elsevier, vol. 61(11), pages 2363-2373, December.
    4. Michele LeBlanc & Tomoko McGaughey & Paul A. Peters, 2023. "Characteristics of High-Resource Health System Users in Rural and Remote Regions: A Scoping Review," IJERPH, MDPI, vol. 20(7), pages 1-14, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0067943. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.