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Primary care presentations at emergency departments: rates and reasons by age and sex

Journal Article


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Abstract


  • Primary care presentations at emergency departments (EDs) have been the subject of much attention in recent years. This paper is a demographic analysis using administrative data from the Emergency Department Information System (EDIS) for 2005 of such presentations in New South Wales EDs and of self-reported reasons for presentation. Age and sex differences in the reasons given by patients for such presentations are analysed using data from a survey of patients conducted in a subset of EDs in 2004.

    The rate of ÃÂÃÂÃÂÿpotential primary careÃÂÃÂÃÂÿ presentations varies greatly with age and to a lesser extent with sex. Almost half (47%) of these presentations are made by people under 25 years of age. Children aged 0ÃÂÃÂÃÂÿ4 years account for 14% of the total. The pattern is distinctly different to the corresponding rate of ED presentations that do not fit the ÃÂÃÂÃÂÿpotential primary careÃÂÃÂÃÂÿ definition. Reasons given for ÃÂÃÂÃÂÿpotential primary careÃÂÃÂÃÂÿ presentations are consistent across all age groups, reflecting self-assessed urgency, access to diagnostics and self-assessed complexity. Older ÃÂÃÂÃÂÿprimary careÃÂÃÂÃÂÿ patients are particularly unlikely to give reasons associated with GP affordability or availability for their presentations. Young adultsÃÂÃÂÃÂÿ responses are consistent with the overall population, and children under the age of five seem most susceptible to availability issues.

Publication Date


  • 2008

Citation


  • Siminski, P. M., Bezzina, A. J., Lago, L. P. & Eagar, K. M. (2008). Primary care presentations at emergency departments: rates and reasons by age and sex. Australian Health Review, 32 (4), 700-709.

Scopus Eid


  • 2-s2.0-58149232559

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=1546&context=commpapers

Ro Metadata Url


  • http://ro.uow.edu.au/commpapers/508

Number Of Pages


  • 9

Start Page


  • 700

End Page


  • 709

Volume


  • 32

Issue


  • 4

Place Of Publication


  • www.aushealthreview.com.au

Abstract


  • Primary care presentations at emergency departments (EDs) have been the subject of much attention in recent years. This paper is a demographic analysis using administrative data from the Emergency Department Information System (EDIS) for 2005 of such presentations in New South Wales EDs and of self-reported reasons for presentation. Age and sex differences in the reasons given by patients for such presentations are analysed using data from a survey of patients conducted in a subset of EDs in 2004.

    The rate of ÃÂÃÂÃÂÿpotential primary careÃÂÃÂÃÂÿ presentations varies greatly with age and to a lesser extent with sex. Almost half (47%) of these presentations are made by people under 25 years of age. Children aged 0ÃÂÃÂÃÂÿ4 years account for 14% of the total. The pattern is distinctly different to the corresponding rate of ED presentations that do not fit the ÃÂÃÂÃÂÿpotential primary careÃÂÃÂÃÂÿ definition. Reasons given for ÃÂÃÂÃÂÿpotential primary careÃÂÃÂÃÂÿ presentations are consistent across all age groups, reflecting self-assessed urgency, access to diagnostics and self-assessed complexity. Older ÃÂÃÂÃÂÿprimary careÃÂÃÂÃÂÿ patients are particularly unlikely to give reasons associated with GP affordability or availability for their presentations. Young adultsÃÂÃÂÃÂÿ responses are consistent with the overall population, and children under the age of five seem most susceptible to availability issues.

Publication Date


  • 2008

Citation


  • Siminski, P. M., Bezzina, A. J., Lago, L. P. & Eagar, K. M. (2008). Primary care presentations at emergency departments: rates and reasons by age and sex. Australian Health Review, 32 (4), 700-709.

Scopus Eid


  • 2-s2.0-58149232559

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=1546&context=commpapers

Ro Metadata Url


  • http://ro.uow.edu.au/commpapers/508

Number Of Pages


  • 9

Start Page


  • 700

End Page


  • 709

Volume


  • 32

Issue


  • 4

Place Of Publication


  • www.aushealthreview.com.au