Understanding the use of emergency department and urgent care services by diabetic patients of a Family Medicine Health Team: a retrospective observational study

被引:1
|
作者
Ward, Matthew [1 ]
机构
[1] Queens Univ, Dept Family Med, 220 Bagot St, Kingston, ON K7L 5E9, Canada
来源
PRIMARY HEALTH CARE RESEARCH AND DEVELOPMENT | 2017年 / 18卷 / 02期
关键词
diabetes mellitus; emergency department; family health team; INDIVIDUALS; PATTERNS;
D O I
10.1017/S1463423616000396
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Aim: To understand the frequency, urgency, and rationale of emergency department and urgent care (ED/ UC) use by diabetic patients of a Family Medicine Health Team (FHT). Methods: A retrospective, observational study with comparison control groups was conducted from 1 January 2013 to 31 December 2014. A total of 693 diabetic patients were compared with two, age-standardized non-diabetic groups: one with a higher disease burden based on International Classification of Diseases 9 diagnoses and the other from a randomized patient pool. Findings: The diabetic group utilized ED/ UC services 1.25 and 1.92 times more often than the two control populations, consistent with that observed in other studies. Canadian Triage and Acuity Scale scores were essentially the same for the diabetic population. Only 3.1% of visits were for diabetic related emergencies, in contrast to the expected 23% by surveyed physicians of the FHT. Diabetic patient's sought treatment for cellulitis, wounds, abscesses, and infections more often than the control populations.
引用
收藏
页码:200 / 207
页数:8
相关论文
共 50 条
  • [1] Predictors of Low-Acuity Emergency Department Use by Patients Enrolled in a Family Health Team
    Jones, Paul
    Jones, Jennifer
    O'Brien, Kristen
    Lee-Poy, Michael
    CANADIAN JOURNAL OF EMERGENCY MEDICINE, 2015, 17 (04) : 359 - 366
  • [2] Nonurgent and urgent emergency department use during pregnancy: an observational study
    Kilfoyle, Kimberly A.
    Vrees, Roxanne
    Raker, Christina A.
    Matteson, Kristen A.
    AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2017, 216 (02)
  • [3] VANCOMYCIN USE IN PATIENTS DISCHARGED FROM THE EMERGENCY DEPARTMENT: A RETROSPECTIVE OBSERVATIONAL COHORT STUDY
    Mueller, Kristen
    McCammon, Craig
    Skrupky, Lee
    Fuller, Brian M.
    JOURNAL OF EMERGENCY MEDICINE, 2015, 49 (01): : 50 - 57
  • [4] Patients presenting to the emergency department: the use of other health care services and reasons for presentation
    Han, Alice
    Ospina, Maria B.
    Blitz, Sandra
    Strome, Trevor
    Rowe, Brian H.
    CANADIAN JOURNAL OF EMERGENCY MEDICINE, 2007, 9 (06) : 428 - 434
  • [5] Utilization of a UK emergency department by care home residents: a retrospective observational study
    Mitchell, Joanne Simpson
    Young, Iain
    EUROPEAN JOURNAL OF EMERGENCY MEDICINE, 2010, 17 (06) : 322 - 324
  • [6] Diabetic patients needing emergency care. Synopsis for the outpatient sector, emergency services and the emergency department
    Hans, F. P.
    Busch, H. -J.
    DIABETOLOGE, 2018, 14 (01): : 51 - 64
  • [7] Improving emergency department transfer for patients arriving by ambulance: A retrospective observational study
    Crilly, Julia
    Johnston, Amy N. B.
    Wallis, Marianne
    O'Dwyer, John
    Byrnes, Joshua
    Scuffham, Paul
    Zhang, Ping
    Bosley, Emma
    Chaboyer, Wendy
    Green, David
    EMERGENCY MEDICINE AUSTRALASIA, 2020, 32 (02) : 271 - 280
  • [8] Emergency team calls for critically ill non-trauma patients in the emergency department: an observational study
    Søren Marker Jensen
    Hien Quoc Do
    Søren W. Rasmussen
    Lars S. Rasmussen
    Thomas Andersen Schmidt
    Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 23
  • [9] Emergency team calls for critically ill non-trauma patients in the emergency department: an observational study
    Jensen, Soren Marker
    Hien Quoc Do
    Rasmussen, Soren W.
    Rasmussen, Lars S.
    Schmidt, Thomas Andersen
    SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE, 2015, 23
  • [10] Ambulatory health care use by patients in a public hospital emergency department
    Kimberly J. Rask
    Mark V. Williams
    Sally E. McNagny
    Ruth M. Parker
    David W. Baker
    Journal of General Internal Medicine, 1998, 13 : 614 - 620