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Socioeconomic disadvantage as a driver of non-urgent emergency department presentations: A retrospective data analysis

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  • Maria Unwin
  • Elaine Crisp
  • Jim Stankovich
  • Damhnat McCann
  • Leigh Kinsman

Abstract

Background: Globally, emergency departments (EDs) are struggling to meet the service demands of their local communities. Across Australia, EDs routinely collect data for every presentation which is used to determine the ability of EDs to meet key performance indicators. This data can also be used to provide an overall picture of service demand and has been used by healthcare planners to identify local needs and inform service provision, thus, using ED presentations as a microcosm of the communities they serve. The aim of this study was to use ED presentation data to identify who, when and why people accessed a regional Australian ED with non-urgent conditions. Method and materials: A retrospective data analysis of routinely collected ED data was undertaken. This included data obtained over a seven-year period (July 2009 to June 2016) in comparison with the Australian Bureau of Statistics census data. Analysis included descriptive statistics to identify the profile of non-urgent attendees and linear regression to identify trends in ED usage. Results: This study revealed a consistently high demand for ED services by people with non-urgent conditions (54.1% of all presentations). People living in the most disadvantaged socioeconomic decile contributed to 36.8% of these non-urgent presentations while those under 25 years of age contributed to 41.1%. Diagnoses of mental health and behavioural issues and of non-specific symptoms significantly increased over the study period (p

Suggested Citation

  • Maria Unwin & Elaine Crisp & Jim Stankovich & Damhnat McCann & Leigh Kinsman, 2020. "Socioeconomic disadvantage as a driver of non-urgent emergency department presentations: A retrospective data analysis," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-16, April.
    • Handle: RePEc:plo:pone00:0231429
    DOI: 10.1371/journal.pone.0231429
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    Cited by:

    1. Abdul-Wahab Tahiru & Samuel Jerry Cobbina & Wilhemina Asare, 2024. "A Circular Economy Approach to Addressing Waste Management Challenges in Tamale’s Waste Management System," World, MDPI, vol. 5(3), pages 1-24, August.
    2. Klein, Jens & Koens, Sarah & Scherer, Martin & Strauß, Annette & Härter, Martin & von dem Knesebeck, Olaf, 2024. "Variations in the intended utilization of emergency care in case of gastrointestinal diseases," Health Policy, Elsevier, vol. 140(C).

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