Trends in the use of accident and emergency services by the homeless on the Wirral.

Earnshaw, S M; Barnes, Rebecca; Brown, Robert M.

doi:10.1136/emj.13.5.334

Cited by 7 publications

(2 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Victor et al 6 found a higher rate of attendance at the emergency department by homeless people compared with the normal resident population (OR 2.6, 95% CI 2.0 to 3.3). Earnshaw et al 10 reviewed attendances at a large emergency department over 8 years prior to 1996 and identified 566 attendances by homeless people out of a total of 421 237 adult attendances, with no significant change in attendance rates over the period studied. The rate of 1.3 per 1000 adult attendances is lower than the rates reported in our study.…”

Section: Discussionmentioning

confidence: 99%

Do emergency department attendances by homeless people increase in cold weather?

Brown

Goodacre

Cross

2010

Emergency Medicine Journal

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Do emergency department attendances by homeless people increase in cold weather?

Brown

Goodacre

Cross

2010

Emergency Medicine Journal

View full text Add to dashboard Cite

show abstract

“…The number of attendances by homeless patients has been calculated at 1.3 per 1000 adult attendances. 5 The aim of this study was to profile our "regular attenders" to identify how many actu-ally fit the category of "regular attenders" and estimate the percentage of the overall workload of the department attributed to this group of patients. In addition, we also aimed to examine the number of alcohol related attendances and the proportion of patients classified as having no fixed abode.…”

mentioning

confidence: 99%

Regular attenders to the accident and emergency department

Lynch

Greaves²

2000

Emergency Medicine Journal

View full text Add to dashboard Cite

Objectives-To examine the profile of regular attenders to an accident and emergency (A&E) department, and to estimate the percentage of the overall departmental workload attributed to this group of patients, together with the resultant cost to the department of these attendances. The aim of this study was to profile our "regular attenders" to identify how many actually fit the category of "regular attenders" and estimate the percentage of the overall workload of the department attributed to this group of patients. In addition, we also aimed to examine the number of alcohol related attendances and the proportion of patients classified as having no fixed abode. The range of presenting complaints, investigations performed and the cost of these together with the disposal of these patients were also analysed. MethodsThere seems to be no standardised definition of a regular attender. Several definitions have been proposed, all of which have been arbitrarily chosen, ranging from two or more visits per year 6 to more than 10. 7 We defined a regular attender as anyone attending the department on average at least once per month over the study period. Therefore, anyone with at least six attendances over the six month period was included for analysis.A retrospective observational study was performed over the period 1 January 1998 to 30 June 1998 to identify all patients with at least six attendances to the accident and emergency (A&E) department at Hull Royal Infirmary.These patients were identified by means of a thorough search of the departmental computer database together with an examination of the "regulars folders" kept in the department. Patients were allocated "regulars folders" based on the number of previous attendances. Finally, all A&E cards were examined to avoid missing any eligible patients.Data collected included age, sex, marital status, accommodation, number and variety of presentations, history of concurrent alcohol or drug use, investigations performed and disposal from A&E.The cost of the investigations undertaken was calculated on the basis of these being carried out both in hours and out of hours, as it was not always possible to accurately establish when these had been performed. Each department responsible for performing these investigations was contacted to establish their cost. The cost of admission was based on an average cost for an inpatient episode of £200 per night. The inpatient case notes were retrieved to identify the duration of inhospital stay. ResultsA total of 191 "regular attenders" folders are kept in our A&E department, however of these only 40 (20.9%) met the criteria of at least one presentation each month for six months. Eighty one patients (42.4%) attended less than six times while 70 (36.6%) did not present at

show abstract

Hospital activity and cost incurred because of unregistered patients in England: considerations for current and new commissioners

Davies¹,

Chitnis²,

Bardsley³

2012

Journal of Public Health

View full text Add to dashboard Cite

show abstract

Trends in the use of accident and emergency services by the homeless on the Wirral.

Cited by 7 publications

References 5 publications

Do emergency department attendances by homeless people increase in cold weather?

Do emergency department attendances by homeless people increase in cold weather?

Regular attenders to the accident and emergency department

Hospital activity and cost incurred because of unregistered patients in England: considerations for current and new commissioners

Contact Info

Product

Resources

About