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

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...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Buja, Alessandra [verfasserIn] Fusco, Marco Furlan, Patrizia Bertoncello, Chiara Baldovin, Tatjana Casale, Patrizia Marcolongo, Adriano Baldo, Vincenzo

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2013

Schlagwörter:	Emergency room Triage Immigrants Illegal Epidemiology

Anmerkung:	© Swiss School of Public Health 2013

Übergeordnetes Werk:	Enthalten in: Sozial- und Präventivmedizin - Basel : Birkhäuser, 1956, 59(2013), 1 vom: 03. Juli, Seite 167-174
Übergeordnetes Werk:	volume:59 ; year:2013 ; number:1 ; day:03 ; month:07 ; pages:167-174

Links:	Volltext

DOI / URN:	10.1007/s00038-013-0483-0

Katalog-ID:	SPR000341150

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520			\|a 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.
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allfields	10.1007/s00038-013-0483-0 doi (DE-627)SPR000341150 (SPR)s00038-013-0483-0-e DE-627 ger DE-627 rakwb eng Buja, Alessandra verfasserin aut Characteristics, processes, management and outcome of accesses to accident and emergency departments by citizenship 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Swiss School of Public Health 2013 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. Emergency room (dpeaa)DE-He213 Triage (dpeaa)DE-He213 Immigrants (dpeaa)DE-He213 Illegal (dpeaa)DE-He213 Epidemiology (dpeaa)DE-He213 Fusco, Marco aut Furlan, Patrizia aut Bertoncello, Chiara aut Baldovin, Tatjana aut Casale, Patrizia aut Marcolongo, Adriano aut Baldo, Vincenzo aut Enthalten in Sozial- und Präventivmedizin Basel : Birkhäuser, 1956 59(2013), 1 vom: 03. Juli, Seite 167-174 (DE-627)350258902 (DE-600)2082216-9 1420-911X nnns volume:59 year:2013 number:1 day:03 month:07 pages:167-174 https://dx.doi.org/10.1007/s00038-013-0483-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 59 2013 1 03 07 167-174
spelling	10.1007/s00038-013-0483-0 doi (DE-627)SPR000341150 (SPR)s00038-013-0483-0-e DE-627 ger DE-627 rakwb eng Buja, Alessandra verfasserin aut Characteristics, processes, management and outcome of accesses to accident and emergency departments by citizenship 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Swiss School of Public Health 2013 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. Emergency room (dpeaa)DE-He213 Triage (dpeaa)DE-He213 Immigrants (dpeaa)DE-He213 Illegal (dpeaa)DE-He213 Epidemiology (dpeaa)DE-He213 Fusco, Marco aut Furlan, Patrizia aut Bertoncello, Chiara aut Baldovin, Tatjana aut Casale, Patrizia aut Marcolongo, Adriano aut Baldo, Vincenzo aut Enthalten in Sozial- und Präventivmedizin Basel : Birkhäuser, 1956 59(2013), 1 vom: 03. Juli, Seite 167-174 (DE-627)350258902 (DE-600)2082216-9 1420-911X nnns volume:59 year:2013 number:1 day:03 month:07 pages:167-174 https://dx.doi.org/10.1007/s00038-013-0483-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 59 2013 1 03 07 167-174
allfields_unstemmed	10.1007/s00038-013-0483-0 doi (DE-627)SPR000341150 (SPR)s00038-013-0483-0-e DE-627 ger DE-627 rakwb eng Buja, Alessandra verfasserin aut Characteristics, processes, management and outcome of accesses to accident and emergency departments by citizenship 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Swiss School of Public Health 2013 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. Emergency room (dpeaa)DE-He213 Triage (dpeaa)DE-He213 Immigrants (dpeaa)DE-He213 Illegal (dpeaa)DE-He213 Epidemiology (dpeaa)DE-He213 Fusco, Marco aut Furlan, Patrizia aut Bertoncello, Chiara aut Baldovin, Tatjana aut Casale, Patrizia aut Marcolongo, Adriano aut Baldo, Vincenzo aut Enthalten in Sozial- und Präventivmedizin Basel : Birkhäuser, 1956 59(2013), 1 vom: 03. Juli, Seite 167-174 (DE-627)350258902 (DE-600)2082216-9 1420-911X nnns volume:59 year:2013 number:1 day:03 month:07 pages:167-174 https://dx.doi.org/10.1007/s00038-013-0483-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 59 2013 1 03 07 167-174
allfieldsGer	10.1007/s00038-013-0483-0 doi (DE-627)SPR000341150 (SPR)s00038-013-0483-0-e DE-627 ger DE-627 rakwb eng Buja, Alessandra verfasserin aut Characteristics, processes, management and outcome of accesses to accident and emergency departments by citizenship 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Swiss School of Public Health 2013 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. Emergency room (dpeaa)DE-He213 Triage (dpeaa)DE-He213 Immigrants (dpeaa)DE-He213 Illegal (dpeaa)DE-He213 Epidemiology (dpeaa)DE-He213 Fusco, Marco aut Furlan, Patrizia aut Bertoncello, Chiara aut Baldovin, Tatjana aut Casale, Patrizia aut Marcolongo, Adriano aut Baldo, Vincenzo aut Enthalten in Sozial- und Präventivmedizin Basel : Birkhäuser, 1956 59(2013), 1 vom: 03. Juli, Seite 167-174 (DE-627)350258902 (DE-600)2082216-9 1420-911X nnns volume:59 year:2013 number:1 day:03 month:07 pages:167-174 https://dx.doi.org/10.1007/s00038-013-0483-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 59 2013 1 03 07 167-174
allfieldsSound	10.1007/s00038-013-0483-0 doi (DE-627)SPR000341150 (SPR)s00038-013-0483-0-e DE-627 ger DE-627 rakwb eng Buja, Alessandra verfasserin aut Characteristics, processes, management and outcome of accesses to accident and emergency departments by citizenship 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Swiss School of Public Health 2013 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. Emergency room (dpeaa)DE-He213 Triage (dpeaa)DE-He213 Immigrants (dpeaa)DE-He213 Illegal (dpeaa)DE-He213 Epidemiology (dpeaa)DE-He213 Fusco, Marco aut Furlan, Patrizia aut Bertoncello, Chiara aut Baldovin, Tatjana aut Casale, Patrizia aut Marcolongo, Adriano aut Baldo, Vincenzo aut Enthalten in Sozial- und Präventivmedizin Basel : Birkhäuser, 1956 59(2013), 1 vom: 03. Juli, Seite 167-174 (DE-627)350258902 (DE-600)2082216-9 1420-911X nnns volume:59 year:2013 number:1 day:03 month:07 pages:167-174 https://dx.doi.org/10.1007/s00038-013-0483-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 59 2013 1 03 07 167-174
language	English
source	Enthalten in Sozial- und Präventivmedizin 59(2013), 1 vom: 03. Juli, Seite 167-174 volume:59 year:2013 number:1 day:03 month:07 pages:167-174
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authorswithroles_txt_mv	Buja, Alessandra @@aut@@ Fusco, Marco @@aut@@ Furlan, Patrizia @@aut@@ Bertoncello, Chiara @@aut@@ Baldovin, Tatjana @@aut@@ Casale, Patrizia @@aut@@ Marcolongo, Adriano @@aut@@ Baldo, Vincenzo @@aut@@
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author	Buja, Alessandra
spellingShingle	Buja, Alessandra misc Emergency room misc Triage misc Immigrants misc Illegal misc Epidemiology Characteristics, processes, management and outcome of accesses to accident and emergency departments by citizenship
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topic_title	Characteristics, processes, management and outcome of accesses to accident and emergency departments by citizenship Emergency room (dpeaa)DE-He213 Triage (dpeaa)DE-He213 Immigrants (dpeaa)DE-He213 Illegal (dpeaa)DE-He213 Epidemiology (dpeaa)DE-He213
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title	Characteristics, processes, management and outcome of accesses to accident and emergency departments by citizenship
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title_full	Characteristics, processes, management and outcome of accesses to accident and emergency departments by citizenship
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author_browse	Buja, Alessandra Fusco, Marco Furlan, Patrizia Bertoncello, Chiara Baldovin, Tatjana Casale, Patrizia Marcolongo, Adriano Baldo, Vincenzo
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title_sort	characteristics, processes, management and outcome of accesses to accident and emergency departments by citizenship
title_auth	Characteristics, processes, management and outcome of accesses to accident and emergency departments by citizenship
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. © Swiss School of Public Health 2013
abstractGer	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. © Swiss School of Public Health 2013
abstract_unstemmed	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. © Swiss School of Public Health 2013
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title_short	Characteristics, processes, management and outcome of accesses to accident and emergency departments by citizenship
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author2	Fusco, Marco Furlan, Patrizia Bertoncello, Chiara Baldovin, Tatjana Casale, Patrizia Marcolongo, Adriano Baldo, Vincenzo
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up_date	2024-07-03T15:26:30.630Z
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