+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Frequent users of emergency departments. Do they also use family physicians' services?



Frequent users of emergency departments. Do they also use family physicians' services?



Canadian Family Physician Medecin de Famille Canadien 48: 1654-1660



To determine whether frequent users of emergency department (ED) services use more or fewer primary care services than other ED patients. Population-based, observational, cross-sectional study. Province of Ontario in 1997-1998. Frequent users of EDs, defined as people with at least 12 ED physician assessments yearly, were compared with those with one to 11 assessments yearly. Number of general practitioner and family physician (GP/FP) office visits and number of GP/FPs visited; diagnoses made during office visits; referrals by GP/FPs to specialists. Three quarters of frequent users of EDs visited GP/FPs at least six times yearly, and more than half visited at least 12 times yearly. Although frequent users of EDs saw many GP/FPs (4.2 vs 1.6 in the control group, P < .001), they received, on average, 73% of their primary care from the GP/FPs whom they saw most frequently. Frequent users of EDs also had more referrals to specialists (4.0 vs 1.0). Frequent users of EDs were more likely to live in low socioeconomic neighbourhoods and to be diagnosed with psychosocial conditions (24.1% vs 11.1%). Most frequent users of EDs have periodic contact with primary care physicians. Communication and coordination of care between EDs and primary care settings could be easier than anticipated, because in most cases, frequent users of EDs seek most of their care from one main ED and one primary care physician.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 046125213

Download citation: RISBibTeXText

PMID: 12449550


Related references

Frequent users of Mental Health Liaison Services within Emergency Departments. Psychiatry Research 258: 194-199, 2017

Brief case management versus usual care for frequent users of emergency departments: the Coordinated Access to Care from Hospital Emergency Departments (CATCH-ED) randomized controlled trial. Bmc Health Services Research 16(1): 432, 2017

Characteristics of hospital emergency departments users. Frequent users. Semergen 44(8): 537-548, 2018

Characteristics of frequent users of emergency departments. Annals of Emergency Medicine 48(1): 1-8, 2006

Frequent users of hospital emergency departments. Gaceta Sanitaria 29(5): 394-396, 2017

Factors Associated With Geriatric Frequent Users of Emergency Departments. Annals of Emergency Medicine 2019, 2019

Frequent users in paediatric emergency departments. Who are they? Why do they consult?. Anales de Pediatria 86(2): 67-75, 2016

Frequent users of US emergency departments: characteristics and opportunities for intervention. Emergency Medicine Journal 31(7): 526-532, 2014

Influence of frequent users of the emergency departments on unscheduled revisits. Journal of Healthcare Quality Research 2019, 2019

Frequent users of Massachusetts emergency departments: a statewide analysis. Annals of Emergency Medicine 48(1): 9-16, 2006

Characteristics of Frequent Users of Emergency Departments With Pain-Related Diagnoses. Annals of Emergency Medicine 68(4): S56-S57, 2016

Frequent users of emergency departments: the myths, the data, and the policy implications. Annals of Emergency Medicine 56(1): 42-48, 2010

Loyal frequent users of hospital emergency departments: the FIDUR project. Emergencias 28(1): 16-20, 2016

Systematic review of frequent users of emergency departments in non-US hospitals: state of the art. European Journal of Emergency Medicine 22(5): 306-315, 2016

Effectiveness of interventions targeting frequent users of emergency departments: a systematic review. Annals of Emergency Medicine 58(1): 41-52.E42, 2011