Access to care and health-related quality of life among older adults with nonurgent emergency department visits

被引:3
作者
D'Avolio, Deborah A. [1 ]
Feldman, James [2 ,3 ]
Mitchell, Patricia [4 ]
Strumpf, Neville [1 ]
机构
[1] Univ Penn, Sch Nursing, Hartford Ctr Geriatr Nursing Excellence, Philadelphia, PA 19104 USA
[2] Boston Med Ctr, Dept Emergency Med, Boston, MA USA
[3] Boston Univ, Sch Med, Dept Emergency Med, Boston, MA 02118 USA
[4] Boston Univ, Med Ctr, Dept Emergency Med, Boston, MA USA
关键词
D O I
10.1016/j.gerinurse.2008.06.005
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
The purpose of this study was to examine access to care and quality of life among a convenience sample of 41 adults, aged 65 and older, seeking nonurgent care in a safety net Emergency Department. Data collected included demographics, presenting symptoms, and access to care. Health-related quality of life (HRQOL) was measured using the Centers for Disease Control and Prevention's HRQOL-14 questionnaire, and a telephone interview was completed 30 days after the visit. Data were analyzed using descriptive statistics. Participants reported multiple barriers to primary care access and a higher risk of experiencing at least 2 weeks per month of poor health (relative risk [RR](3.1, P <0.001), physical unhealthy days (RR(3.8, P < 0.001), and mental unhealthy days (RR ( 3.1, P < 0.001) and had a higher proportion of poor physical (P < 0.003) and mental health (P < 0.004) days compared with overall Massachusetts data. © 2008.
引用
收藏
页码:240 / 246
页数:7
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