Understanding the Characteristics of Frequent Users of Emergency Departments : What Role Do Medical Conditions Play?
- Frequent users of emergency departments (ED) pose a significant challenge to hospital emergency services. Despite a wealth of studies in this field, it is hardly understood, what medical conditions lead to frequent attendance. We examine (1) what ambulatory care sensitive conditions (ACSC) are linked to frequent use, (2) how frequent users can be clustered into subgroups with respect to their diagnoses, acuity and admittance, and (3) whether frequent use is related to higher acuity or admission rate. We identified several ACSC that highly increase the risk for heavy ED use, extracted four major diagnose subgroups and found no significant effect neither for acuity nor admission rate. Our study indicates that especially patients in need of (nursing) care form subgroups of frequent users, which implies that quality of care services might be crucial for tackling frequent use. Hospitals are advised to regularly analyze their ED data in the EHR to better align resources.
Author: | Jens Rauch, Jens HüsersORCiD, Ursula Hertha HübnerORCiD |
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Title (English): | Understanding the Characteristics of Frequent Users of Emergency Departments : What Role Do Medical Conditions Play? |
URN: | urn:nbn:de:bsz:959-opus-20506 |
DOI: | https://doi.org/10.3233/978-1-61499-896-9-175 |
ISBN: | 978-1-61499-895-2 |
ISBN: | 978-1-61499-896-9 |
Parent Title (English): | German Medical Data Sciences : A Learning Healthcare System |
Publisher: | IOS Press |
Place of publication: | Amsterdam |
Document Type: | Conference Proceeding |
Language: | English |
Year of Completion: | 2018 |
Release Date: | 2021/05/20 |
First Page: | 175 |
Last Page: | 179 |
Note: | 63rd Annual Meeting of the German Association of Medical Informatics, Biometry and Epidemiology (GMDS e.V.), 02.09. - 06.09.2018, Osnabrück |
Faculties: | Fakultät WiSo |
DDC classes: | 600 Technik, Medizin, angewandte Wissenschaften / 610 Medizin, Gesundheit |
Review Status: | Veröffentlichte Fassung/Verlagsversion |
Licence (German): | Creative Commons - CC BY-NC - Namensnennung - Nicht kommerziell 4.0 International |