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Is the use of emergency departments socially patterned?

Author

Listed:
  • Hélène Colineaux

    (Toulouse University Hospital
    INSERM-Université Toulouse III)

  • Fanny Le Querrec

    (Regional Observatory of Emergency Medicine in the Midi-Pyrénées (ORU-MiP))

  • Laure Pourcel

    (Regional Observatory of Emergency Medicine in the Midi-Pyrénées (ORU-MiP))

  • Jean-Christophe Gallart

    (Regional Observatory of Emergency Medicine in the Midi-Pyrénées (ORU-MiP)
    Toulouse University Hospital)

  • Olivier Azéma

    (Regional Observatory of Emergency Medicine in the Midi-Pyrénées (ORU-MiP))

  • Thierry Lang

    (Toulouse University Hospital
    INSERM-Université Toulouse III)

  • Michelle Kelly-Irving

    (INSERM-Université Toulouse III)

  • Sandrine Charpentier

    (INSERM-Université Toulouse III
    Toulouse University Hospital)

  • Sébastien Lamy

    (INSERM-Université Toulouse III
    Toulouse University Hospital)

Abstract

Objectives To analyse the association between patients’ socioeconomic position (SEP) and the use of emergency departments (EDs). Methods 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. Results 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. Conclusions 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.

Suggested Citation

  • Hélène Colineaux & Fanny Le Querrec & Laure Pourcel & Jean-Christophe Gallart & Olivier Azéma & Thierry Lang & Michelle Kelly-Irving & Sandrine Charpentier & Sébastien Lamy, 2018. "Is the use of emergency departments socially patterned?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(3), pages 397-407, April.
    • Handle: RePEc:spr:ijphth:v:63:y:2018:i:3:d:10.1007_s00038-017-1073-3
    DOI: 10.1007/s00038-017-1073-3
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    References listed on IDEAS

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    1. Padgett, Deborah K. & Brodsky, Beth, 1992. "Psychosocial factors influencing non-urgent use of the emergency room: A review of the literature and recommendations for research and improved service delivery," Social Science & Medicine, Elsevier, vol. 35(9), pages 1189-1197, November.
    2. Yulia Marchenko, 2011. "Chained equations and more in multiple imputation in Stata 12," United Kingdom Stata Users' Group Meetings 2011 14, Stata Users Group.
    3. Marion Devaux & Michael de Looper, 2012. "Income-Related Inequalities in Health Service Utilisation in 19 OECD Countries, 2008-2009," OECD Health Working Papers 58, OECD Publishing.
    4. Caroline Berchet, 2015. "Emergency Care Services: Trends, Drivers and Interventions to Manage the Demand," OECD Health Working Papers 83, OECD Publishing.
    5. repec:dau:papers:123456789/10510 is not listed on IDEAS
    6. Yulia Marchenko, 2011. "Chained equations and more in multiple imputation in Stata 12," Italian Stata Users' Group Meetings 2011 06, Stata Users Group.
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    Cited by:

    1. Neil, Amanda L. & Chappell, Kate & Wagg, Fiona & Miller, April & Judd, Fiona, 2021. "The Tasmanian Conception to Community (C2C) Study Database 2008-09 to 2013-14: Using linked health administrative data to address each piece in the puzzle," Social Science & Medicine, Elsevier, vol. 284(C).
    2. Liang-Chung Huang & Wu-Fu Chung & Shih-Wei Liu & Jau-Ching Wu & Li-Fu Chen & Yu-Chun Chen, 2019. "Characteristics of Non-Emergent Visits in Emergency Departments: Profiles and Longitudinal Pattern Changes in Taiwan, 2000–2010," IJERPH, MDPI, vol. 16(11), pages 1-16, June.

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