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Permanent link (DOI): https://doi.org/10.7939/R35M6285Q

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Emergency Health Care Use among Sociodemographic Groups of Children Presenting to Emergency Departments for Self-Harm in Alberta Open Access

Descriptions

Author or creator
Newton, Amanda S.
Tsang, Conrad I.
Rosychuk,Rhonda J.
Additional contributors
Subject/Keyword
children
emergency department
follow-up
self-harm
visit rates
Type of item
Journal Article (Published)
Language
English
Place
Time
Description
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.
Date created
2015/03/30
DOI
doi:10.7939/R35M6285Q
License information
Rights
© Canadian Association of Emergency Physicians. This is final, post-peer reviewed author version of the published version of this article. This item is open access.
Citation for previous publication
Newton AS, Tsang CL, Rosychuk RJ. Emergency Health Care Use among Sociodemographic Groups of Children Presenting to Emergency Departments for Self-Harm in Alberta. Canadian Journal of Emergency Medicine. 2015;17(5):497-506.
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2016-06-06T09:01:40.906+00:00
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File format: msword (Microsoft Word)
Mime type: application/msword
File size: 632832
Last modified: 2016:06:06 08:55:27-06:00
Filename: SRB trends_16May2014_REVISED (1).doc
Original checksum: 9930cd46a4dd93e57edefadb384a19c5
File author: Conrad Tsang
Page count: 25
File language: U.S. English
Word count: 5717
Character count: 32592
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