nach oben

Erschienen in:

01.02.2014 | Original Article

Characteristics, processes, management and outcome of accesses to accident and emergency departments by citizenship

verfasst von: Alessandra Buja, Marco Fusco, Patrizia Furlan, Chiara Bertoncello, Tatjana Baldovin, Patrizia Casale, Adriano Marcolongo, Vincenzo Baldo

Erschienen in: International Journal of Public Health | Ausgabe 1/2014

Einloggen, um Zugang zu erhalten

Abstract

Objectives

The aim of this study was to analyze the characteristics of accident and emergency department (A and E) access, process management and outcome after grouping patients by their citizenship.

Methods

The study was conducted using the recorded linkage database at a local public health agency in north-east Italy. We investigated 35,541 adult patients (18–65 years) accessing the A and E.

Results

An underutilization of primary care services and the use of A and E for nonurgent conditions is a problem affecting all nationalities, natives included. The length of the stay in A and E and the consistency between level of urgency and priority of the visits at entry and exit triage were similar for all citizenship groups. Illegal migrants were more frequently hospitalized after A and E visits than other groups.

Conclusions

The potentially inappropriate use of A and E for non-urgent conditions was common among all the patient groups considered and barriers to primary care may enhance this behavior among migrants. This situation could also explain the higher odds ratio for migrants’ hospitalization and discharge to ambulatory services after A and E visits.

Baglio G, Saunders C, Spinelli A et al (2010) Utilisation of hospital services in Italy: a comparative analysis of immigrant and Italian citizens. J Immigr Minor Health 12(4):598–609PubMedCrossRef

Bonvicini L, Broccoli S, D’Angelo S et al (2011) Emergency room services utilization in the province of Reggio Emilia: a comparison between immigrants and Italians. Epidemiol Prev 35(5–6):259–266PubMed

Brigidi S, Cremonesi P, Cristina ML et al (2008) Inequalities and health: analysis of a model for the management of Latin American users of an emergency department. J Prev Med Hyg 49(1):6–12PubMed

Cacciani L, Baglio G, Rossi L et al (2006) Hospitalisation among immigrants in Italy. Emerg Themes Epidemiol 3:4PubMedCentralPubMedCrossRef

Carret ML, Fassa AG, Kawachi I (2007) Demand for emergency health service: factors associated with inappropriate use. BMC Health Serv Res 7:131PubMedCentralPubMedCrossRef

Cots F, Castells X, Garcia O et al (2007) Impact of immigration on the cost of emergency visits in Barcelona (Spain). BMC Health Serv Res 7:9PubMedCentralPubMedCrossRef

Gaddini A, Franco F, Biscaglia L, Di Lallo D (2008) An urban Italian study on emergency room utilisation by immigrants suffering from mental disorders in Rome. Eur Psychiatry 23(2):118-24. doi:10.1016/j.eurpsy.2007.11.007 PubMedCrossRef

Grassino EC, Guidi C, Monzani A, Di Pietro P, Bona G (2009) Access to paediatric emergency departments in Italy: a comparison between immigrant and Italian patients. Ital J Pediatr 35(1):3. doi:10.1186/1824-7288-35-3 PubMedCentralPubMedCrossRef

Jimenez-Rubio D, Hernandez-Quevedo C (2011) Inequalities in the use of health services between immigrants and the native population in Spain: what is driving the differences? Eur J Health Econ 12(1):17–28PubMedCrossRef

Kevin Watkins et al (2009) United Nations Development Program, Human Development Report 2007/2008

Nielsen SS, Krasnik A, Rosano A (2009) Registry data for cross-country comparisons of migrants’ healthcare utilization in the EU: a survey study of availability and content. BMC Health Serv Res 9:210PubMedCentralPubMedCrossRef

Norredam M, Krasnik A, Moller Sorensen T et al (2004) Emergency room utilization in Copenhagen: a comparison of immigrant groups and Danish-born residents. Scand J Public Health 32(1):53–59PubMedCrossRef

Norredam M, Mygind A, Nielsen AS et al (2007) Motivation and relevance of emergency room visits among immigrants and patients of Danish origin. Eur J Public Health 17(5):497–502PubMedCrossRef

Norredam M, Nielsen SS, Krasnik A (2010) Migrants’ utilization of somatic healthcare services in Europe—a systematic review. Eur J Public Health 20(5):555–563PubMedCrossRef

Rue M, Cabre X, Soler-Gonzalez J et al (2008) Emergency hospital services utilization in Lleida (Spain): a cross-sectional study of immigrant and Spanish-born populations. BMC Health Serv Res 8:81PubMedCentralPubMedCrossRef

Sabbatani S, Baldi E, Manfredi R (2007) Time trends in health care needs of non-EU citizens from developing countries, admitted to a general hospital in northern Italy. Infez Med 15(4):242–249PubMed

Sonnenberg A (1988) Factors which influence the incidence and course of peptic ulcer. Scand J Gastroenterol Suppl 155:119–140PubMedCrossRef

Testi A, Ivaldi E (2008) L'esercizio del diritto alla tutela della salute: accesso degli immigrati ai servizi sanitari in regione Liguria. In Immigrazione e diritti umani nel quadro legislativo attuale (a cura di Costanzo P, Mordeglia S, Trucco L, Giuffrè editore. Milano, Annali della Facoltà di Giurisprudenza di Genova, pp 115-132

Torres AM, Sanz B (2000) Healthcare provision for illegal immigrants: should public health be concerned? J Epidemiol Community Health 54:478–479PubMedCrossRef

US Department of Health and Human Services (1997) International classification of diseases, 9th revision, clinical modifications (ICD-9-CM), sixth ed. US DHHS, Public Health Service, Health Care Financing Administration, Washington, DC, DHHS publication no (PHS) 96-1260

Titel: Characteristics, processes, management and outcome of accesses to accident and emergency departments by citizenship
verfasst von: Alessandra Buja
Marco Fusco
Patrizia Furlan
Chiara Bertoncello
Tatjana Baldovin
Patrizia Casale
Adriano Marcolongo
Vincenzo Baldo
Publikationsdatum: 01.02.2014
Verlag: Springer Basel
Erschienen in: International Journal of Public Health / Ausgabe 1/2014
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-013-0483-0

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2014

Fruit and vegetable consumption and sports participation among UK Youth

Association between variables used in the field substitution and post-stratification adjustment in the Belgian health interview survey and non-response

Overcoming the perceived barriers to health care access among single mothers in coastal Kenya

Assessing population-wide behaviour change: concordance of 10-year trends in self-reported and observed sun protection

Changes in television viewing and computers/videogames use among high school students in Southern Brazil between 2001 and 2011

A community-based oral health self-care intervention for Hispanic families