Emergency Health Care Use among Sociodemographic Groups of Children Presenting to Emergency Departments for Self-Harm in Alberta
Abstract Objective To examine sociodemographic variations among children <18 years in (1) rates of self-harm visits to emergency departments (EDs) and (2) physician follow-up after the self-harm visit in Alberta. Methods A retrospective, population-based cohort (2002–2011) of ED visits for se...
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Online Access: | http://dx.doi.org/10.1017/cem.2015.1 https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S1481803515000019 |
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crspringernat:10.1017/cem.2015.1 2023-05-15T16:15:18+02:00 Emergency Health Care Use among Sociodemographic Groups of Children Presenting to Emergency Departments for Self-Harm in Alberta Newton, Amanda S. Tsang, Conrad I. Rosychuk, Rhonda J. 2015 http://dx.doi.org/10.1017/cem.2015.1 https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S1481803515000019 en eng Springer Science and Business Media LLC https://www.cambridge.org/core/terms CJEM volume 17, issue 5, page 497-506 ISSN 1481-8035 1481-8043 Emergency Medicine journal-article 2015 crspringernat https://doi.org/10.1017/cem.2015.1 2022-01-04T16:57:39Z Abstract Objective To examine sociodemographic variations among children <18 years in (1) rates of self-harm visits to emergency departments (EDs) and (2) physician follow-up after the self-harm visit in Alberta. Methods A retrospective, population-based cohort (2002–2011) of ED visits for self-harm by individuals <18 years was conducted using administrative databases from Alberta, Canada. Individuals were grouped by First Nations status or type of health care premium subsidy (family receipt of government subsidy, human services program subsidy, no subsidy received). Visits from 104 EDs were summarized by crude and directly standardized visit rates (DSVRs) per 100,000 individuals. Kaplan-Meier estimates for median estimated time to physician follow-up were calculated with 95% confidence intervals (CIs). Results During the study period, visit rates decreased with the exception of children from families receiving government-sponsored program subsidy (DSVRs 163/100,000 to 250/100,000; p =0.032). First Nations children had disproportionately fewer follow-up visits compared to other children. The median time to follow-up for First Nations children was 39 days (95% CI: 32, 48) compared to 16 days for children from families receiving no subsidy (95% CI: 14, 19), who had the shortest follow-up time after an ED visit. Conclusions Sociodemographic differences were evident in ED visit rates as well as the number of and time to physician follow-up visit. The disparities experienced by First Nations children in the follow-up period highlight an opportunity for culturally-grounded risk and needs assessment in the ED to determine and facilitate timely and appropriate follow-up care. Article in Journal/Newspaper First Nations Springer Nature (via Crossref) Canada Meier ENVELOPE(-45.900,-45.900,-60.633,-60.633) CJEM 17 5 497 506 |
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Open Polar |
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Springer Nature (via Crossref) |
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crspringernat |
language |
English |
topic |
Emergency Medicine |
spellingShingle |
Emergency Medicine Newton, Amanda S. Tsang, Conrad I. Rosychuk, Rhonda J. Emergency Health Care Use among Sociodemographic Groups of Children Presenting to Emergency Departments for Self-Harm in Alberta |
topic_facet |
Emergency Medicine |
description |
Abstract Objective To examine sociodemographic variations among children <18 years in (1) rates of self-harm visits to emergency departments (EDs) and (2) physician follow-up after the self-harm visit in Alberta. Methods A retrospective, population-based cohort (2002–2011) of ED visits for self-harm by individuals <18 years was conducted using administrative databases from Alberta, Canada. Individuals were grouped by First Nations status or type of health care premium subsidy (family receipt of government subsidy, human services program subsidy, no subsidy received). Visits from 104 EDs were summarized by crude and directly standardized visit rates (DSVRs) per 100,000 individuals. Kaplan-Meier estimates for median estimated time to physician follow-up were calculated with 95% confidence intervals (CIs). Results During the study period, visit rates decreased with the exception of children from families receiving government-sponsored program subsidy (DSVRs 163/100,000 to 250/100,000; p =0.032). First Nations children had disproportionately fewer follow-up visits compared to other children. The median time to follow-up for First Nations children was 39 days (95% CI: 32, 48) compared to 16 days for children from families receiving no subsidy (95% CI: 14, 19), who had the shortest follow-up time after an ED visit. Conclusions Sociodemographic differences were evident in ED visit rates as well as the number of and time to physician follow-up visit. The disparities experienced by First Nations children in the follow-up period highlight an opportunity for culturally-grounded risk and needs assessment in the ED to determine and facilitate timely and appropriate follow-up care. |
format |
Article in Journal/Newspaper |
author |
Newton, Amanda S. Tsang, Conrad I. Rosychuk, Rhonda J. |
author_facet |
Newton, Amanda S. Tsang, Conrad I. Rosychuk, Rhonda J. |
author_sort |
Newton, Amanda S. |
title |
Emergency Health Care Use among Sociodemographic Groups of Children Presenting to Emergency Departments for Self-Harm in Alberta |
title_short |
Emergency Health Care Use among Sociodemographic Groups of Children Presenting to Emergency Departments for Self-Harm in Alberta |
title_full |
Emergency Health Care Use among Sociodemographic Groups of Children Presenting to Emergency Departments for Self-Harm in Alberta |
title_fullStr |
Emergency Health Care Use among Sociodemographic Groups of Children Presenting to Emergency Departments for Self-Harm in Alberta |
title_full_unstemmed |
Emergency Health Care Use among Sociodemographic Groups of Children Presenting to Emergency Departments for Self-Harm in Alberta |
title_sort |
emergency health care use among sociodemographic groups of children presenting to emergency departments for self-harm in alberta |
publisher |
Springer Science and Business Media LLC |
publishDate |
2015 |
url |
http://dx.doi.org/10.1017/cem.2015.1 https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S1481803515000019 |
long_lat |
ENVELOPE(-45.900,-45.900,-60.633,-60.633) |
geographic |
Canada Meier |
geographic_facet |
Canada Meier |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
CJEM volume 17, issue 5, page 497-506 ISSN 1481-8035 1481-8043 |
op_rights |
https://www.cambridge.org/core/terms |
op_doi |
https://doi.org/10.1017/cem.2015.1 |
container_title |
CJEM |
container_volume |
17 |
container_issue |
5 |
container_start_page |
497 |
op_container_end_page |
506 |
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1766001009632477184 |