Quantifying Ambulatory Care Use Preceding Emergency Department Visits and Hospitalizations for Ambulatory Care Sensitive Conditions

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Sharmistha Dev ◽  
Jason Goldstick ◽  
Timothy Peterson ◽  
Jeffrey Brenner ◽  
Mahshid Abir
Keyword(s):  
Emergency Department ◽  
Ambulatory Care ◽  
Emergency Department Visits ◽  
Ambulatory Care Sensitive Conditions ◽  
Ambulatory Care Sensitive ◽  
Sensitive Conditions

scholarly journals Emergency department visits for ambulatory care sensitive conditions

2019 ◽  
Vol 53 ◽  
Author(s):  
Ana Cláudia Medeiros Galvão de Lima ◽  
Lúcia Yasuko Izumi Nichiata ◽  
Daiana Bonfim
Keyword(s):  
Emergency Department ◽  
Ambulatory Care ◽  
Emergency Department Visits ◽  
Ambulatory Care Sensitive Conditions ◽  
Chronic Patients ◽  
Poor Access ◽  
Margin Of Error ◽  
Access To Primary Care ◽  
Ambulatory Care Sensitive ◽  
Sensitive Conditions

ABSTRACT Objective: To describe emergency department visits for ambulatory care sensitive conditions. Method: Exploratory, descriptive, ecological, quantitative study. From January 2015 to December 2016, was accessed the database with information of visits performed in an emergency department located in the region of Campo Limpo, municipality of São Paulo. A 99% confidence interval was considered for the incidence of visits with identification of ambulatory care sensitive conditions, and a margin of error of 0.4%. The analyzes were performed with use of the statistical package SPSS. Results: We found 434,883 visits, of which 17.1% were due to ambulatory care sensitive conditions, mostly of women and children up to 4 years of age. The reason for most visits were ear, nose and throat infections (45.4%). There was a higher chance of visits for the indicator in chronic patients (p<0.001). Conclusion: This study demonstrated the emergency department ambulatory care sensitive conditions visits that may indicate poor access to primary care.

scholarly journals Emergency department use in people who experience imprisonment in Ontario, Canada

CJEM ◽  
2019 ◽  
Vol 22 (2) ◽  
pp. 232-240
Author(s):  
John Tuinema ◽  
Aaron M. Orkin ◽  
Stephanie Y. Cheng ◽  
Kinwah Fung ◽  
Fiona G. Kouyoumdjian
Keyword(s):  
Emergency Department ◽  
General Population ◽  
Ambulatory Care ◽  
Ambulatory Care Sensitive Conditions ◽  
Higher Ed ◽  
High Urgency ◽  
Women In Prison ◽  
Rate Ratios ◽  
Ambulatory Care Sensitive ◽  
Sensitive Conditions

ABSTRACTObjectivesThe aims of this study were to describe emergency department (ED) utilization by people in provincial prison and on release, and to compare with ED utilization for the general population.MethodsWe linked correctional and health administrative data for people released from provincial prison in Ontario in 2010. We matched each person by age and sex with four people in the general population. We compared ED utilization rates using generalized estimating equations, by sex and for high urgency and ambulatory care sensitive conditions.ResultsPeople who experienced imprisonment (N = 48,861) had higher ED utilization rates compared with the general population (N = 195,444), with rate ratios of 3.2 (95% CI 3.0–4.4) for men and 6.5 (95% CI 5.6–7.5) for women in prison and a range of rate ratios between 3.1 and 7.7 for men and 4.2 and 8.8 for women over the 2 years after release. Most ED visits were high urgency, and between 1.0% and 5.1% of visits were for ambulatory care sensitive conditions. ED utilization rates increased on release from prison.ConclusionsPeople experiencing imprisonment in Ontario have higher ED utilization compared with matched people in the general population, primarily for urgent issues, and particularly in women and in the week after release. Providing high-quality ED care and implementing prison- and ED-based interventions could improve health for this population and prevent the need for ED use.

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