Navigation Links
2 studies: Social factors, 'super users' and urban emergency departments
Date:6/2/2010

DETROIT Difficulties with shelter, transportation, insurance, and health care costs are linked with heavier emergency department usage by so-called "super-user" patients in urban areas, according to research at Henry Ford Hospital.

The conclusions were drawn in the first of two studies on frequent users in inner-city emergency departments.

"A 'super user' is defined as a person who has visited the emergency department nine or more times in 18 months," explains Emily Brauer, M.D., co-author of the study on social factors. "Our team looked at what types of factors affected patients' frequent use of the emergency department."

Dr. Brauer will present the findings of the study on social factors June 5 at the Annual Meeting of the Society for Academic Emergency Medicine (SAEM) in Phoenix.

Another Henry Ford study followed frequent users over a 10-year period, looking for changes in their patterns of usage.

"The number of frequent users, and the number of visits by this group to the Emergency Department at Henry Ford Hospital, has increased significantly over the past decade," says Gerard B. Martin, M.D., lead author of the 10-year study. "The increases occurred despite stable insurance coverage for most of these patients."

Dr. Martin will present the findings of the 10-year study June 4 at SAEM.

The social factors study consisted of questionnaires conducted in an urban emergency department that sees 95,000 patients a year. A total of 80 adult patients, with an average number of 19 emergency department visits in the past year, were enrolled over a five-month period. Patients who suffered from intoxication or mental health issues were not included in the study.

  • 78 percent of patients specified the ED as the primary place that they seek health care.
  • 14 percent had no access to a primary care physician in the past 12 months.
  • 22 percent reported that cost was a barrier to seeing a doctor.
  • 50 percent had difficulty with transportation to a clinic.
  • 47 percent reported difficulty with scheduling appointments with their doctors.

These factors were associated with a higher number of visits to the emergency department. Additional factors included an inability to afford doctor visits or prescriptions, homelessness, and lack of health insurance.

Forty-two percent of patients indicated they had also visited emergency departments at other hospitals more than five times in the last 12 months.

Factors that were not associated with a higher number of emergency department visits included: dissatisfaction with their doctors, alcohol and illicit drug use, educational level, or annual income (more than 70 percent reported annual incomes of less than $10,000).

In addition to Dr. Brauer, the team studying social impact included Joseph Miller, M.D., and Stephanie Stokes-Buzzelli, M.D.

Although the demographics of frequent users and interventions to decrease emergency department use has been described, Dr. Martin's 10-year study is the first to document changes in frequent users over an extended period.

Variables analyzed in the 10-year study included number of visits, age, disposition and insurance status.

Researchers found an 83-percent increase in visits by frequent users over the decade of the study. This increase was dramatically greater than the 9 percent increase of overall Emergency Department visits during this time.


'/>"/>

Contact: Sally Ann Brown
sbrown2@hfhs.org
313-876-2882
Henry Ford Health System
Source:Eurekalert

Related medicine news :

1. EverySpot.com Launches the Web's First Social Surfing Site
2. Pharma Companies Head Toward The Social Media Dialogue
3. New Project Gathers Stories about Social Security for Book, Awareness Effort
4. Robin Leedy & Associates Hires Digital Content Producer, Taking Social Media for Drugstore Brands Digital Capability to the Next Level
5. Social marketing changes with times to promote social change
6. Singlebrook Technology to Create Free Custom iPhone App for Social or Sustainable Mission-Driven Organization
7. Choosing Representation Can Help Disability Applicants Avoid Long Lines at Social Security Offices
8. Social Media Driving Leads & Sales, New Report Shows
9. Parent Involvement in Grade School Boosts Childs Social Skills
10. Getting Help with Initial Social Security Disability Application Can Speed Access to Benefits
11. Declining social security benefits keep older men in workforce
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/29/2016)... ... April 29, 2016 , ... New York City based oral and maxillofacial surgeon Dr. ... very effective way to treat obstructive sleep apnea. Dr. Jamali is proud to offer this ... procedure that involves one or both jaw bones. This surgery is performed to correct the ...
(Date:4/29/2016)... ... April 29, 2016 , ... Regenerative Medicine Solutions (RMS) scored ... satisfaction survey, earning them second place for Tampa’s Best Places to Work. They were ... “This is a great accomplishment for our team,” says RMS Human Resources Manager Irene ...
(Date:4/29/2016)... ... , ... International Dehydrated Foods, Inc. (IDF™) will attend and sponsor Global Food ... by Hilton Hotel in Oak Brook, Illinois. The two-day event is the largest conference ... , At the seminar, IDF™ will offer samples of its Savory Bone Broth ...
(Date:4/29/2016)... (PRWEB) , ... April 29, 2016 , ... ... clinic data for 2014. Each year, reproductive endocrinologists are required to report ... the main organization of professionals dedicated to the practice of assisted reproductive technologies ...
(Date:4/29/2016)... (PRWEB) , ... April 29, 2016 , ... ... providers, recently announced that their founders, Dr. Gemmi and Dr. Middleberg, were asked ... 550 orthodontists around the nation. During the seminar, titled “Advancing the Biomechanics ...
Breaking Medicine News(10 mins):
(Date:4/27/2016)... April 27, 2016 Elekta today ... platform will be the focal point of seven scientific ... European Society for Radiotherapy & Oncology, taking place April ... a state-of-the-art radiotherapy system and a high-field MRI scanner ... see the patient,s anatomy in real time. The MR-linac ...
(Date:4/27/2016)... Massachusetts , April 27, 2016 ... that Jeff Poulton , Chief Financial Officer, will present ... Boston, MA on Wednesday, May 04, ... audio webcast will be available on the Presentations and Webcasts ... a replay of the webcast will be available on this ...
(Date:4/27/2016)... At the Sachs CEO forum ... Phase 2 clinical study of its lead drug candidate, ... implantation (CI) surgery. This large, placebo-controlled, double-blind, phase 2 ... and France . STR001 ... time of surgery. "Despite advances in cochlear implant technology, ...
Breaking Medicine Technology: