Emergency Room Reliance Examined in Adolescents

Young children and those with special needs less likely to have high emergency department reliance
By Eric Metcalf
HealthDay Reporter

TUESDAY, Dec. 15 (HealthDay News) -- Emergency department reliance (EDR), the percentage of health care visits occurring in the emergency department (ED), may provide information on whether children who are frequent ED users lack sufficient access to primary care, according to research published online Dec. 14 in Pediatrics.

Eric L. Kroner, M.D., of the Children's Research Institute in Milwaukee, and colleagues analyzed data from 8,823 children younger than 18 years of age involved in two two-year Medical Expenditure Panel Survey cohorts. The authors defined frequent ED use as two or more visits and high EDR as greater than 0.33.

The researchers found that young children and those with special health needs were more likely to use the ED for care, but were less likely to have a high EDR, suggesting that they didn't visit the ED as an excessive proportion of their general health care use. Those with less parental education, low income, of African-American race, and utilizing public insurance were more likely to have high EDR.

"In this first large descriptive study, EDR was shown to discriminate between children who are frequent users of the ED. EDR, readily calculated from data contained in large administrative databases, can be used as a complementary measure of ED use to differentiate populations with increased need for ED services from those with lack of access to quality primary care," the authors conclude.

Abstract
Full Text (subscription or payment may be required)

Copyright © 2009 ScoutNews, LLC. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95


The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95


Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.


Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.


Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events