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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.

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Metadaten
Author:Jens Rauch, Jens HüsersORCiD, Ursula Hertha HübnerORCiD
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):License LogoCreative Commons - CC BY-NC - Namensnennung - Nicht kommerziell 4.0 International