Factors associated with emergency department use among the rural elderly

Journal of Rural Health

Volumn 27, Issue 1, 2011, Pages 39-49

  Fan, Lin ^a   Shah, Manish N ^a   Veazie, Peter J ^a   Friedman, Bruce ^a,b  

^a UNIVERSITY OF ROCHESTER   (United States)

^b UNIVERSITY OF ROCHESTER MEDICAL CENTER   (United States)

Author keywords

Elderly; Emergency department; Medicaid; Rural; Self perceived health

Indexed keywords

AGED; ARTICLE; CHRONIC DISEASE; CROSS-SECTIONAL STUDY; DEMOGRAPHY; EMERGENCY HEALTH SERVICE; FEMALE; HEALTH BEHAVIOR; HEALTH SERVICES RESEARCH; HEALTH STATUS; HOSPITAL; HUMAN; MALE; SOCIOECONOMICS; UTILIZATION REVIEW;

AGED; AGED, 80 AND OVER; CHRONIC DISEASE; CROSS-SECTIONAL STUDIES; EMERGENCY SERVICE, HOSPITAL; FEMALE; HEALTH BEHAVIOR; HEALTH SERVICES RESEARCH; HEALTH STATUS; HOSPITALS, RURAL; HUMANS; MALE; RESIDENCE CHARACTERISTICS; SOCIOECONOMIC FACTORS;

EID: 78650787709     PISSN: 0890765X     EISSN: 17480361     Source Type: Journal    
DOI: 10.1111/j.1748-0361.2010.00313.x     Document Type: Article

References (78)

1. Shah MN, Glushak C, Karrison TG, et al. Predictors of emergency medical services utilization by elders. Acad Emerg Med. 2003;10(1):52-58.
2. Nawar EW, Niska RW, Xu J. National Hospital Ambulatory Medical Care Survey: 2005 emergency department summary. Adv Data Vital Health Stat. 2007;386:1-32.
3. McCusker J, Karp I, Cardin S, Durand P, Morin J. Determinants of emergency department visits by older adults: a systematic review. Acad Emerg Med. 2003;10(12):1362-1370.
4. Roberts DC, McKay MP, Shaffer A. Increasing rates of emergency department visits for elderly patients in the United States, 1993 to 2003. Ann Emerg Med. 2008;51(6):769-774.
5. Walsh PG, Currier G, Shah MN, Lyness JM, Friedman B. Psychiatric emergency services for the U.S. elderly: 2008 and beyond. Am J Geriatr Psychiatry. 2008;16(9):706-717.
6. Hummer RA, Pacewicz J, Wang SC, Collins C. Health Insurance Coverage in Non-Metropolitan America. Critical Issues in Rural Health. Ames, IA Blackwell Publishing; 2004.
7. Rosenthal TC, Fox C. Access to health care for the rural elderly. JAMA. 2000;284(16):2034-2036.
8. Arcury TA, Gesler WM, Preisser JS, Sherman J, Spencer J, Perin J. The effects of geography and spatial behavior on health care utilization among the residents of a rural region. Health Serv Res. 2005;40(1):135-155.
9. Bible BL. Health care delivery in rural areas. JAMA. 1971;216(10):1635-1637.
10. Chan L, Hart LG, Goodman DC. Geographic access to health care for rural Medicare beneficiaries. J Rural Health. 2006;22(2):140-146.
11. Coward RT, Cutler SJ. Informal and formal health care systems for the rural elderly. Health Serv Res. 1989;23(6):785-806.
12. DeLeon PH, Wakefield M, Schultz AJ, Williams J, VandenBos GR. Rural America. Unique opportunities for health care delivery and health services research. Am Psychol. 1989;44(10):1298-1306.
13. Edelman MA, Menz BL. Selected comparisons and implications of a national rural and urban survey on health care access, demographics, and policy issues. J Rural Health. 1996;12(3):197-205.
14. Hartley D. Rural health disparities, population health, and rural culture. Am J Public Health. 2004;94(10):1675-1678.
15. Hartley D, Quam L, Lurie N. Urban and rural differences in health insurance and access to care. J Rural Health. 1994;10(2):98-108.
16. Larson SL, Fleishman JA. Rural-urban differences in usual source of care and ambulatory service use: analyses of national data using Urban Influence Codes. Med Care. 2003;41(7 Suppl):III65-III74.
17. Patton L. Setting the rural health services research agenda: the congressional perspective. Health Serv Res. 1989;23(6):1005-1051.
18. Wilson VE. Rural health care systems. JAMA. 1971;216(10):1623-1626.
19. Aday LA QB, Reyes-Gibby CC. Equity in Rural Health and Health Care. Handbook of Rural Health. New York, NY Academic/Plenum Publishers; 2001.
20. Dor A, Holahan J. Urban-rural differences in Medicare physician expenditures. Inquiry. 1990;27(4):307-318.
21. Himes CL, Rutrough TS. Differences in the use of health services by metropolitan and nonmetropolitan elderly. J Rural Health. 1994;10(2):80-88.
22. Offner R ST, Clark F. Disability and rural independent living: setting an agenda for rural rehabilitation. Hum Serv Rrual Environ. 1992;15:6-8.
23. Piette JD, Moos RH. The influence of distance on ambulatory care use, death, and readmission following a myocardial infarction. Health Serv Res. 1996;31(5):573-591.
24. Bross MH, Wiygul FM, Rushing SK. The role of the rural hospital emergency department. Fam Med. 1991;23(5):351-353.
25. Collins BK, Borders TF. Utilization of hospital services among older rural persons: a comparison of critical access hospitals and community hospitals. J Health Hum Serv Adm. 2005;28(1):135-152.
26. Hamdy RC, Forrest LJ, Moore SW, Cancellaro L. Use of emergency departments by the elderly in rural areas. South Med J. 1997;90(6):616-620.
27. Lishner DM, Rosenblatt RA, Baldwin LM, Hart LG. Emergency department use by the rural elderly. J Emerg Med. 2000;18(3):289-297.
28. Casey MM, Wholey D, Moscovice IS. Rural emergency department staffing and participation in emergency certification and training programs. J Rural Health. 2008;24(3):253-262.
29. Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav. 1995;36(1):1-10.
30. Shah MN, Rathouz PJ, Chin MH. Emergency department utilization by noninstitutionalized elders. Acad Emerg Med. 2001;8(3):267-273.
31. Wolinsky FD, Coe RM. Physician and hospital utilization among noninstitutionalized elderly adults: an analysis of the Health Interview Survey. J Gerontol. 1984;39(3):334-341.
32. Parboosingh EJ, Larsen DE. Factors influencing frequency and appropriateness of utilization of the emergency room by the elderly. Med Care. 1987;25(12):1139-1147.
33. Agency for Healthcare Research and Quality, US Department of Health and Human Services. Medical Expenditure Panel Survey. Available at: Accessed November 7, 2008.
34. Friedman B, Conwell Y, Delavan RL. Correlates of late-life major depression: a comparison of urban and rural primary care patients. Am J Geriatr Psychiatry. 2007;15(1):28-41.
35. Zuvekas SH, Olin GL. Validating household reports of health care use in the medical expenditure panel survey. Health Serv Res. 2009;44(5 Pt 1):1679-1700.
36. Baker DW, Stevens CD, Brook RH. Determinants of emergency department use: are race and ethnicity important? Ann Emerg Med. 1996;28(6):677-682.
37. Gill JM, Mainous AG III, Nsereko M. The effect of continuity of care on emergency department use. Arch Fam Med. 2000;9(4):333-338.
38. Rosenblatt RA, Wright GE, Baldwin LM, et al. The effect of the doctor-patient relationship on emergency department use among the elderly. Am J Public Health. 2000;90(1):97-102.
39. Mandelberg JH, Kuhn RE, Kohn MA. Epidemiologic analysis of an urban, public emergency department's frequent users. Acad Emerg Med. 2000;7(6):637-646.
40. Sun BC, Burstin HR, Brennan TA. Predictors and outcomes of frequent emergency department users. Acad Emerg Med. 2003;10(4):320-328.
41. Menec VH, Sirski M, Attawar D. Does continuity of care matter in a universally insured population? Health Serv Res. 2005;40(2):389-400.
42. McCusker J, Healey E, Bellavance F, Connolly B. Predictors of repeat emergency department visits by elders. Acad Emerg Med. 1997;4(6):581-588.
43. Pollack HA, Wheeler JR, Cowan A, Freed GL. The impact of managed care enrollment on emergency department use among children with special health care needs. Med Care. 2007;45(2):139-145.
44. Powers RD. Emergency department use by adult medicaid patients after implementation of managed care. Acad Emerg Med. 2000;7(12):1416-1420.
45. Baker LC, Afendulis C. Medicaid managed care and health care for children. Health Serv Res. 2005;40(5 Pt 1):1466-1488.
46. Garrett B, Davidoff AJ, Yemane A. Effects of Medicaid managed care programs on health services access and use. Health Serv Res. 2003;38(2):575-594.
47. Andersen RM. National health surveys and the behavioral model of health services use. Med Care. 2008;46(7):647-653.
48. Pregibon D. Goodness of link tests for generalized linear models. Appl Stat. 1980;29:15-24.
49. Hosmer DW, Lemeshow S. Applied Logistic Regression. 2nd ed. New York Wiley-Interscience Publication; 2000.
50. Metz CE. Basic principles of ROC analysis. Sem Nuc Med. 1978;8(4):283-298.
51. Huber P. The behavior of maximum likelihood estimates under non-standard conditions. Paper presented at: The Fifth Berkeley Symposium on Mathematical Statistics and Probability, Berkeley, CA, 1967.
52. White H. Maximum likelihood estimation of misspecified models. Econometrica. 1982;50(1):1-25.
53. Wolinsky FD, Coe RM, Miller DK, Prendergast JM, Creel MJ, Chavez MN. Health services utilization among the noninstitutionalized elderly. J Health Soc Behav. 1983;24(4):325-337.
54. Bennett KM. Does marital status and marital status change predict physical health in older adults? Psychol Med. 2006;36(9):1313-1320.
55. Iwashyna TJ, Christakis NA. Marriage, widowhood, and health-care use. Soc Sci Med. 2003;57(11):2137-2147.
56. Hansell S, Sherman G, Mechanic D. Body awareness and medical care utilization among older adults in an HMO. J Gerontol. 1991;46(3):S151-S159.
57. Walsh EG, Clark WD. Managed care and dually eligible beneficiaries: challenges in coordination. Health Care Financ Rev. 2002;24(1):63-82.
58. Morgan RO, Virnig BA, DeVito CA, Persily NA. The Medicare-HMO revolving door-the healthy go in and the sick go out. N Engl J Med. 1997;337(3):169-175.
59. Long SK. Do for-profit health plans restrict access to care under Medicaid managed care? Med Care Res Rev. 2008;65(5):638-648.
60. Zuckerman S, Brennan N, Yemane A. Has Medicaid managed care affected beneficiary access and use? Inquiry. 2002;39(3):221-242.
61. Blumenthal D. New steam from an old cauldron-the physician-supply debate. N Engl J Med. 2004;350(17):1780-1787.
62. Kindig DA, Movassaghi H. The adequacy of physician supply in small rural counties. Health Aff (Millwood). 1989;8(2):63-76.
63. Jencks SF, Cuerdon T, Burwen DR, et al. Quality of medical care delivered to Medicare beneficiaries: a profile at state and national levels. JAMA. 2000;284(13):1670-1676.
64. Bazargan M, Johnson KH, Stein JA. Emergency department utilization among Hispanic and African-American under-served patients with type 2 diabetes. Ethn Dis. 2003;13(3):369-375.
65. Gifford AL, Collins R, Timberlake D, et al. Propensity of HIV patients to seek urgent and emergent care. HIV Cost and Services Utilization Study Consortium. J Gen Intern Med. 2000;15(12):833-840.
66. Wolinsky FD, Liu L, Miller TR, et al. Emergency department utilization patterns among older adults. J Gerontol A Biol Sci Med Sci. 2008;63(2):204-209.
67. Ionescu-Ittu R, McCusker J, Ciampi A, et al. Continuity of primary care and emergency department utilization among elderly people. CMAJ. 2007;177(11):1362-1368.
68. Gadalla TM. Comparison of users and non-users of mental health services among depressed women: a national study. Women Health. 2008;47(1):1-19.
69. Rhodes A, Liisa Jaakkimainen R, Bondy S, Fung K. Depression and mental health visits to physicians-a prospective records-based study. Soc Sci Med. 2006;62(4):828-834.
70. Shumay DM, Maskarinec G, Gotay CC, Heiby EM, Kakai H. Determinants of the degree of complementary and alternative medicine use among patients with cancer. J Altern Complement Med. 2002;8(5):661-671.
71. Anthony MN, Gardner L, Marks G, et al. Factors associated with use of HIV primary care among persons recently diagnosed with HIV: examination of variables from the behavioural model of health-care utilization. AIDS Care. 2007;19(2):195-202.
72. Dunlop DD, Manheim LM, Song J, Chang RW. Health care utilization among older adults with arthritis. Arthritis Rheum. 2003;49(2):164-171.
73. Dunlop S, Coyte PC, McIsaac W. Socio-economic status and the utilisation of physicians' services: results from the Canadian National Population Health Survey. Soc Sci Med. 2000;51(1):123-133.
74. Suaya JA, Shepard DS, Normand SL, Ades PA, Prottas J, Stason WB. Use of cardiac rehabilitation by Medicare beneficiaries after myocardial infarction or coronary bypass surgery. Circulation. 2007;116(15):1653-1662.
75. Yabroff KR, Breen N, Vernon SW, Meissner HI, Freedman AN, Ballard-Barbash R. What factors are associated with diagnostic follow-up after abnormal mammograms? Findings from a U.S. National Survey. Cancer Epidemiol Biomarkers Prev. 2004;13(5):723-732.
76. Astin JA. Why patients use alternative medicine: results of a national study. JAMA. 1998;279(19):1548-1553.
77. Machlin S, Cohen J, Elixhauser A, Beauregard K, Steiner C. Sensitivity of household reported medical conditions in the medical expenditure panel survey. Med Care. 2009;47(6):618-625.
78. Veazie PJ. When to combine hypotheses and adjust for multiple tests. Health Services Research. 2006;41(3):804-818.