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Does patients’ experience of general practice affect the use of emergency departments? Evidence from Australia

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  • Wong, Chun Yee
  • Hall, Jane

Abstract

AS Emergency Department (ED) attendances have been growing rapidly, various strategies have been employed in Australia to improve access to General Practitioner (GP) care, particularly after normal working hours, in order to reduce the demand for ED. However, there has been little attention paid to the quality of GP care and whether that influences ED attendances. This paper investigates whether ED use is affected by patients’ experience of GP care, using the logit model to analyse data from a survey of Australian consumers (1758 individuals). Not surprisingly, we find that people with poor health status and a greater number of chronic conditions are more likely to visit the ED. We also find that, after correcting for health status and sociodemographic factors, patients with a better GP experience are less likely to visit the ED. This suggests that policies aimed at improving the quality of primary care are also important in reducing unplanned hospital use.

Suggested Citation

  • Wong, Chun Yee & Hall, Jane, 2018. "Does patients’ experience of general practice affect the use of emergency departments? Evidence from Australia," Health Policy, Elsevier, vol. 122(2), pages 126-133.
    • Handle: RePEc:eee:hepoli:v:122:y:2018:i:2:p:126-133
    DOI: 10.1016/j.healthpol.2017.11.008
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    References listed on IDEAS

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    1. Muthen, Bengt, 1983. "Latent variable structural equation modeling with categorical data," Journal of Econometrics, Elsevier, vol. 22(1-2), pages 43-65.
    2. Chun Yee Wong & Jessica Greene & Xenia Dolja‐Gore & Kees van Gool, 2017. "The Rise and Fall in Out‐of‐Pocket Costs in Australia: An Analysis of the Strengthening Medicare Reforms," Health Economics, John Wiley & Sons, Ltd., vol. 26(8), pages 962-979, August.
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    Cited by:

    1. Pulok, Mohammad Habibullah & van Gool, Kees & Hall, Jane, 2020. "Horizontal inequity in the utilisation of healthcare services in Australia," Health Policy, Elsevier, vol. 124(11), pages 1263-1271.
    2. Pak, Anton & Gannon, Brenda, 2021. "Do access, quality and cost of general practice affect emergency department use?," Health Policy, Elsevier, vol. 125(4), pages 504-511.
    3. Pulok, Mohammad Habibullah & van Gool, Kees & Hall, Jane, 2020. "Inequity in physician visits: the case of the unregulated fee market in Australia," Social Science & Medicine, Elsevier, vol. 255(C).
    4. Garrafa, Emirena & Levaggi, Rosella & Miniaci, Raffaele & Paolillo, Ciro, 2020. "When fear backfires: Emergency department accesses during the Covid-19 pandemic," Health Policy, Elsevier, vol. 124(12), pages 1333-1339.

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