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Is the use of emergency departments socially patterned?

Author

Listed:
  • Hélène Colineaux

    (Toulouse University Hospital
    INSERM-Université Toulouse III)

  • Fanny Le Querrec

    (Regional Observatory of Emergency Medicine in the Midi-Pyrénées (ORU-MiP))

  • Laure Pourcel

    (Regional Observatory of Emergency Medicine in the Midi-Pyrénées (ORU-MiP))

  • Jean-Christophe Gallart

    (Regional Observatory of Emergency Medicine in the Midi-Pyrénées (ORU-MiP)
    Toulouse University Hospital)

  • Olivier Azéma

    (Regional Observatory of Emergency Medicine in the Midi-Pyrénées (ORU-MiP))

  • Thierry Lang

    (Toulouse University Hospital
    INSERM-Université Toulouse III)

  • Michelle Kelly-Irving

    (INSERM-Université Toulouse III)

  • Sandrine Charpentier

    (INSERM-Université Toulouse III
    Toulouse University Hospital)

  • Sébastien Lamy

    (INSERM-Université Toulouse III
    Toulouse University Hospital)

Abstract

Objectives To analyse the association between patients’ socioeconomic position (SEP) and the use of emergency departments (EDs). Methods This population-based study included all visits to ED in 2012 by inhabitants of the French Midi-Pyrénées region, recorded by the Regional Emergency Departments Observatory. We compared ED visit rates and the proportion of non-severe visits according to the patients’ SEP as assessed by the European Deprivation Index. Results We analysed 496,388 visits. The annual ED visit rate increased with deprivation level: 165.9 [95% CI (164.8–166.9)] visits per 1000 inhabitants among the most advantaged group, compared to 321.9 [95% CI (320.3–323.5)] per 1000 among the most disadvantaged. However, the proportion of non-severe visits was about 14% of the visits, and this proportion did not differ according to SEP. Conclusions Although the study shows a difference of ED visit rates, the probability of a visit being non-severe is not meaningfully different according to SEP. This supports the assumption that ED visit rate variations according to SEP are mainly explained by SEP-related differences in health states rather than SEP-related differences in health behaviours.

Suggested Citation

  • Hélène Colineaux & Fanny Le Querrec & Laure Pourcel & Jean-Christophe Gallart & Olivier Azéma & Thierry Lang & Michelle Kelly-Irving & Sandrine Charpentier & Sébastien Lamy, 2018. "Is the use of emergency departments socially patterned?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(3), pages 397-407, April.
    • Handle: RePEc:spr:ijphth:v:63:y:2018:i:3:d:10.1007_s00038-017-1073-3
    DOI: 10.1007/s00038-017-1073-3
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    References listed on IDEAS

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    1. Padgett, Deborah K. & Brodsky, Beth, 1992. "Psychosocial factors influencing non-urgent use of the emergency room: A review of the literature and recommendations for research and improved service delivery," Social Science & Medicine, Elsevier, vol. 35(9), pages 1189-1197, November.
    2. Marion Devaux & Michael de Looper, 2012. "Income-Related Inequalities in Health Service Utilisation in 19 OECD Countries, 2008-2009," OECD Health Working Papers 58, OECD Publishing.
    3. Yulia Marchenko, 2011. "Chained equations and more in multiple imputation in Stata 12," United Kingdom Stata Users' Group Meetings 2011 14, Stata Users Group.
    4. Caroline Berchet, 2015. "Emergency Care Services: Trends, Drivers and Interventions to Manage the Demand," OECD Health Working Papers 83, OECD Publishing.
    5. repec:dau:papers:123456789/10510 is not listed on IDEAS
    6. Yulia Marchenko, 2011. "Chained equations and more in multiple imputation in Stata 12," Italian Stata Users' Group Meetings 2011 06, Stata Users Group.
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    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. Liang-Chung Huang & Wu-Fu Chung & Shih-Wei Liu & Jau-Ching Wu & Li-Fu Chen & Yu-Chun Chen, 2019. "Characteristics of Non-Emergent Visits in Emergency Departments: Profiles and Longitudinal Pattern Changes in Taiwan, 2000–2010," IJERPH, MDPI, vol. 16(11), pages 1-16, June.

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