Title |
Is the use of emergency departments socially patterned?
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Published in |
International Journal of Public Health, January 2018
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DOI | 10.1007/s00038-017-1073-3 |
Pubmed ID | |
Authors |
Hélène Colineaux, Fanny Le Querrec, Laure Pourcel, Jean-Christophe Gallart, Olivier Azéma, Thierry Lang, Michelle Kelly-Irving, Sandrine Charpentier, Sébastien Lamy |
Abstract |
To analyse the association between patients' socioeconomic position (SEP) and the use of emergency departments (EDs). 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. 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. 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. |
X Demographics
Geographical breakdown
Country | Count | As % |
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France | 4 | 80% |
Unknown | 1 | 20% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 4 | 80% |
Practitioners (doctors, other healthcare professionals) | 1 | 20% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 25 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 3 | 12% |
Student > Ph. D. Student | 3 | 12% |
Student > Doctoral Student | 2 | 8% |
Librarian | 2 | 8% |
Other | 1 | 4% |
Other | 3 | 12% |
Unknown | 11 | 44% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 4 | 16% |
Biochemistry, Genetics and Molecular Biology | 2 | 8% |
Nursing and Health Professions | 2 | 8% |
Social Sciences | 2 | 8% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 4% |
Other | 1 | 4% |
Unknown | 13 | 52% |