Prevalence of and predictors for frequent utilization of emergency department: A population-based study

Medicine (United States)

Volumn 94, Issue 29, 2015, Pages

  Ko, Mingchung ^a,b,c   Lee, Yaling ^a,b   Chen, Chuchieh ^c   Chou, Pesus ^b   Chu, Dachen ^a,b,c  

^a TAIPEI CITY HOSPITAL   (Taiwan)

^b NATIONAL YANG MING UNIVERSITY   (Taiwan)

^c NATIONAL TAIPEI UNIVERSITY OF NURSING AND HEALTH SCIENCES   (Taiwan)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; AGED; AMBULATORY CARE; ARTICLE; CEREBROVASCULAR DISEASE; CHARLSON COMORBIDITY INDEX; CHILD; CHRONIC KIDNEY DISEASE; CHRONIC OBSTRUCTIVE LUNG DISEASE; COMORBIDITY; CONGESTIVE HEART FAILURE; CONNECTIVE TISSUE DISEASE; CROSS-SECTIONAL STUDY; EMERGENCY CARE; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; FEMALE; HEALTH CARE UTILIZATION; HOSPITALIZATION; HUMAN; LIVER DISEASE; MAJOR CLINICAL STUDY; MALE; MENTAL DISEASE; NEOPLASM; OUTCOME ASSESSMENT; OUTPATIENT CARE; PEPTIC ULCER; PERIPHERAL VASCULAR DISEASE; POPULATION RESEARCH; PRESCHOOL CHILD; PREVALENCE; PRIORITY JOURNAL; TAIWAN; AGE; HEALTH SERVICE; INFANT; INSURANCE; MIDDLE AGED; RISK; SOCIAL CARE; SOCIOECONOMICS; STATISTICS AND NUMERICAL DATA; UTILIZATION; YOUNG ADULT;

ADOLESCENT; ADULT; AGE FACTORS; AGED; CHILD; CHILD, PRESCHOOL; COMORBIDITY; CROSS-SECTIONAL STUDIES; EMERGENCY SERVICE, HOSPITAL; FEMALE; HEALTH SERVICES; HUMANS; INFANT; INSURANCE CLAIM REVIEW; MALE; MIDDLE AGED; ODDS RATIO; PUBLIC ASSISTANCE; SOCIOECONOMIC FACTORS; TAIWAN; YOUNG ADULT;

EID: 84942417773     PISSN: 00257974     EISSN: 15365964     Source Type: Journal    
DOI: 10.1097/MD.0000000000001205     Document Type: Article

References (54)

1. Lowthian JA, Curtis AJ, Cameron PA, et al. Systematic review of trends in emergency department attendances: an Australian perspective. Emerg Med J. 2011;28:373-377.
2. Tang N, Stein J, Hsia RY, et al. Trends and characteristics of US emergency department visits, 1997-2007. JAMA. 2010;304:664-670.
3. Goodell S, DeLia D, Cantor JC. Emergency Department Utilization and Capacity. 2009, Robert Wood Johnson Foundation Policy Brief No. 17. Princeton, NJ: Robert Wood Johnson Foundation. http://www.rwjf.org/content/dam/farm/reports/issue-briefs/2009/rwjf43566. [Accessed May 7, 2014].
4. Forero R, Hillman KM, McCarthy S, et al. Access block and ED overcrowding. Emerg Med Australas. 2010;22:119-135.
5. Derlet RW. Overcrowding in emergency departments: increased demand and decreased capacity. Ann Emerg Med. 2002;39:430-432.
6. Derlet RW, Richards JR. Overcrowding in the Nations Emergency Departments: complex causes and disturbing effects. Ann Emerg Med. 2000;35:63-68.
7. Lowthian JA, Cameron PA. Emergency demand access block and patient safety: a call for national leadership. Emerg Med Australas. 2009;21:435-439.
8. LaCalle E, Rabin E. Frequent users of emergency departments: the myths, the data, and the policy implications. Ann Emerg Med. 2010;56:42-48.
9. Hunt KA, Weber EJ, Showstack JA, et al. Characteristics of frequent users of emergency departments. Ann Emerg Med. 2006;48:1-8.
10. Zuckerman S, Shen YC. Characteristics of occasional and frequent emergency department users: do insurance coverage and access to care matter? Med Care. 2004;42:176-182.
11. Malone RE. Whither the almshouse? Overutilization and the role of the emergency department. J Health Polit Policy Law. 1998;23:795-832.
12. Huang JA, Weng RH, Lai CS, et al. Exploring medical utilization patterns of emergency department users. J Formos Med Assoc. 2008;107:119-128.
13. Blank FS, Li H, Smithline HA, et al. A descriptive study of heavy emergency department users at an academic emergency department reveals heavy ED users have better access to care than average users. J Emerg Nurs. 2005;31:139-144.
14. Ruger JP, Richter CJ, Spitznagel EL, et al. Analysis of costs, length of stay, and utilization of emergency department services by frequent users: implications for health policy. Acad Emerg Med. 2004;11:1311-1317.
15. Byrne M, Murphy AW, Plunkett PK, et al. Frequent attenders to an emergency department: a study of primary health care use, medical profile, and psychosocial characteristics. Ann Emerg Med. 2003;41:309-318.
16. Chan BT, Ovens HJ. Frequent users of emergency departments: do they also use family physicians services? Can Fam Phys. 2002;48:1654-1660.
17. Fuda KK, Immekus R. Frequent users of Massachusetts emergency departments: a statewide analysis. Ann Emerg Med. 2006;48:9-16.
18. Weber EJ, Showstack JA, Hunt KA, et al. Does lack of a usual source of care or health insurance increase the likelihood of an emergency department visit? Results of a national population-based study. Ann Emerg Med. 2005;45:4-12.
19. Xu KT, Nelson BK, Berk S. The changing profile of patients who used emergency department services in the United States: 1996 to 2005. Ann Emerg Med. 2009;54:805-810.
20. Chiang TL. Taiwans 1995 health care reform. Health Policy. 1997;39:225-239.
21. Lin WH, Li CY, Wang WM, et al. Incidence of end stage renal disease among type 1 diabetes: a nationwide cohort study in Taiwan. Medicine (Baltimore). 2014;93:e274.
22. National Health Insurance Research Database. Taiwan. Available at. http://w3.nhri.org.tw/nhird/en/Data-Subsets.html. [Accessed November 12, 2014].
23. Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol. 1992;45:613-619.
24. Milbrett P, Halm M. Characteristics and predictors of frequent utilization of emergency services. J Emerg Nurs. 2009;35:191-198.
25. Yang NP, Lee YH, Lin CH, et al. Utilization of and direct expenditure for emergency medical care in Taiwan: a populationbased descriptive study. J Epidemiol. 2009;19:41-48.
26. Wolff JL, Starfield B, Anderson G. Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Arch Intern Med. 2002;162:2269-2276.
27. Gijsen R, Hoeymans N, Schellevis FG, et al. Causes and consequences of comorbidity: a review. J Clin Epidemiol. 2001;54:661-674.
28. LeDuc K, Rosebrook H, Rannie M, et al. Pediatric emergency department recidivism: demographic characteristics and diagnostic predictors. J Emerg Nurs. 2006;32:131-138.
29. Yamamoto LG, Zimmerman KR, Butts RJ, et al. Characteristics of frequent pediatric emergency department users. Pediatr Emerg Care. 1995;11:340-346.
30. Moore L, Deehan A, Seed P, et al. Characteristics of frequent attenders in an emergency department: analysis of 1-year attendance data. Emerg Med J. 2009;26:263-267.
31. Shao CC, Chang CP, Chou LF, et al. The ecology of medical care in Taiwan. J Chin Med Assoc. 2011;74:408-412.
32. Leung GM, Wong IO, Chan WS, et al., Health Care Financing Study Group. The ecology of health care in Hong Kong. Soc Sci Med. 2005;61:577-590.
33. Ferro A, Kristiansson PM. Ecology of medical care in a publicly funded health care system: a registry study in Sweden. Scand J Prim Health Care. 2011;29:187-192.
34. Pinkhasov RM, Wong J, Kashanian J, et al. Are men shortchanged on health? Perspective on health care utilization and health risk behavior in men and women in the United States. Int J Clin Pract. 2010;64:475-487.
35. Banks I. No mans land: men, illness, and the NHS. BMJ. 2001;323:1058-1060.
36. Directorate-General of Budget. Accounting and statistics, executive yuan, R.O.C. (Taiwan). Available at http://www.stat.gov.tw/public/Attachment/081918204771.doc. [Accessed December 17, 2010]. [In Chinese].
37. Bieler G, Paroz S, Faouzi M, et al. Social and medical vulnerability factors of emergency department frequent users in a universal health insurance system. Acad Emerg Med. 2012;19:63-68.
38. McCusker J, Cardin S, Bellavance F, et al. Return to the emergency department among elders: patterns and predictors. Acad Emerg Med. 2000;7:249-259.
39. Sun BC, Burstin HR, Brennan TA. Predictors and outcomes of frequent emergency department users. Acad Emerg Med. 2003;10:320-328.
40. Ford JG, Meyer IH, Sternfels P, et al. Patterns and predictors of asthma-related emergency department use in Harlem. Chest. 2001;120:1129-1135.
41. Mandelberg JH, Kuhn RE, Kohn MA. Epidemiologic analysis of an urban, public Emergency Departments frequent users. Acad Emerg Med. 2000;7:637-646.
42. Freitag FG, Kozma CM, Slaton T, et al. Characterization and prediction of emergency department use in chronic daily headache patients. Headache. 2005;45:891-898.
43. Griswold SK, Nordstrom CR, Clark S, et al. Asthma exacerbations in North American adults: who are the frequent fliers in the Emergency Department? Chest. 2005;127:1579-1586.
44. Friedman BW, Serrano D, Reed M, et al. Use of the emergency department for severe headache. A population-based study. Headache. 2009;49:21-30.
45. Doran KM, Raven MC, Rosenheck RA. What drives frequent emergency department use in an integrated health system? National data from the Veterans Health Administration. Ann Emerg Med. 2013;62:151-159.
46. Sandoval E, Smith S, Walter J, et al. A comparison of frequent and infrequent visitors to an urban emergency department. J Emerg Med. 2010;38:115-121.
47. Kalucy R, Thomas L, King D. Changing demand for mental health services in the emergency department of a public hospital. Aust N Z J psychiatry. 2005;39:74-80.
48. Dent AW, Phillips GA, Chenhall AJ, et al. The heaviest repeat users of an inner city emergency department are not general practice patients. Emerg Med. 2003;15:322-329.
49. Saliou V, Fichelle A, McLoughlin M, et al. Psychiatric disorders among patients admitted to a French medical emergency service. Gen Hosp Psychiatry. 2005;27:263-268.
50. Dent A, Hunter G, Webster AP. The impact of frequent attenders on a UK emergency department. Eur J Emerg Med. 2010;17:332-336.
51. Jamieson D. The treatment of Kenny Farnsworth. Washington Post. November 11, 2009:Magazine W12.
52. Abelson R. Uninsured put a strain on hospitals. The New York Times. December 8, 2008: B1.
53. Soril LJ, Leggett LE, Lorenzetti DL, et al. Reducing frequent visits to the emergency department: a systematic review of interventions. PLoS One. 2015;10:e0123660.
54. Hsu CC, Tai TY. Long-Term glycemic control by a diabetes casemanagement program and the challenges of diabetes care in Taiwan. Diabetes Res Clin Pract. 2014;106:S328-332.