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Influence of social characteristics on use of paediatric emergency care in Sweden - A questionnaire based study

Ellbrant, Julia LU ; Åkeson, Jonas LU ; Eckner, Jenny LU and Karlsland Åkeson, Pia LU (2018) In BMC Emergency Medicine 18(1).
Abstract

Background: Parental social characteristics influence the use of emergency departments (ED) in the USA, but less is known about paediatric ED care-seeking in countries with national health insurance. This prospective study was designed to evaluate associations between parental care-seeking and social characteristics, with emphasis on impact of non-native origin, at a paediatric ED in Sweden, a European country providing paediatric healthcare free of charge. Methods: Parents attending a paediatric ED at a large urban university hospital filled out a questionnaire on social characteristics and reasons for care-seeking. Information on patient characteristics and initial management was obtained from ED registers and patient records.... (More)

Background: Parental social characteristics influence the use of emergency departments (ED) in the USA, but less is known about paediatric ED care-seeking in countries with national health insurance. This prospective study was designed to evaluate associations between parental care-seeking and social characteristics, with emphasis on impact of non-native origin, at a paediatric ED in Sweden, a European country providing paediatric healthcare free of charge. Methods: Parents attending a paediatric ED at a large urban university hospital filled out a questionnaire on social characteristics and reasons for care-seeking. Information on patient characteristics and initial management was obtained from ED registers and patient records. Paediatric ED physicians assessed the medical appropriateness of each patient visit triaged for ED care. Results: In total, 962 patient visits were included. Telephone healthline service before the paediatric ED visit was less often used by non-native parents (63/345 vs. 249/544, p < 0.001). Low-aquity visits, triaged away from the ED, were more common among non-native parents (80/368 vs. 67/555, OR = 1.66; p = 0.018), and among those reporting lower abilities in the Swedish language (23/82 vs. 120/837, OR = 2.66; p = 0.003). Children of non-native parents were more often assessed by physicians not to require ED care (122/335 vs. 261/512, OR = 0.70; p = 0.028). Conclusions: This study confirms more direct and less urgent use of paediatric ED care by parents of non-native origin or with limited abilities in the Swedish language, proposing that parental social characteristics influence paediatric ED care-seeking, also in a country with healthcare free of charge, and that specific needs of these groups should be better met by prehospital medical services.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Children, Emergency department, Socio-economic status, Triage, Urgency
in
BMC Emergency Medicine
volume
18
issue
1
publisher
BioMed Central
external identifiers
  • scopus:85059239379
ISSN
1471-227X
DOI
10.1186/s12873-018-0210-5
language
English
LU publication?
yes
id
c44b0c5a-a082-400a-b028-a3e63885bfdc
date added to LUP
2019-01-11 12:48:02
date last changed
2019-02-20 11:42:40
@article{c44b0c5a-a082-400a-b028-a3e63885bfdc,
  abstract     = {<p>Background: Parental social characteristics influence the use of emergency departments (ED) in the USA, but less is known about paediatric ED care-seeking in countries with national health insurance. This prospective study was designed to evaluate associations between parental care-seeking and social characteristics, with emphasis on impact of non-native origin, at a paediatric ED in Sweden, a European country providing paediatric healthcare free of charge. Methods: Parents attending a paediatric ED at a large urban university hospital filled out a questionnaire on social characteristics and reasons for care-seeking. Information on patient characteristics and initial management was obtained from ED registers and patient records. Paediatric ED physicians assessed the medical appropriateness of each patient visit triaged for ED care. Results: In total, 962 patient visits were included. Telephone healthline service before the paediatric ED visit was less often used by non-native parents (63/345 vs. 249/544, p &lt; 0.001). Low-aquity visits, triaged away from the ED, were more common among non-native parents (80/368 vs. 67/555, OR = 1.66; p = 0.018), and among those reporting lower abilities in the Swedish language (23/82 vs. 120/837, OR = 2.66; p = 0.003). Children of non-native parents were more often assessed by physicians not to require ED care (122/335 vs. 261/512, OR = 0.70; p = 0.028). Conclusions: This study confirms more direct and less urgent use of paediatric ED care by parents of non-native origin or with limited abilities in the Swedish language, proposing that parental social characteristics influence paediatric ED care-seeking, also in a country with healthcare free of charge, and that specific needs of these groups should be better met by prehospital medical services.</p>},
  articleno    = {59},
  author       = {Ellbrant, Julia and Åkeson, Jonas and Eckner, Jenny and Karlsland Åkeson, Pia},
  issn         = {1471-227X},
  keyword      = {Children,Emergency department,Socio-economic status,Triage,Urgency},
  language     = {eng},
  month        = {12},
  number       = {1},
  publisher    = {BioMed Central},
  series       = {BMC Emergency Medicine},
  title        = {Influence of social characteristics on use of paediatric emergency care in Sweden - A questionnaire based study},
  url          = {http://dx.doi.org/10.1186/s12873-018-0210-5},
  volume       = {18},
  year         = {2018},
}