Characteristics of Aboriginal and Torres Strait Islander presentations to three Victorian emergency departments

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Abstract

OBJECTIVES: Aboriginal and Torres Strait Islander (ATSI) people have significant health disparity compared with other Australians. The present study examines the characteristics of ATSI patients presenting to three EDs of a single healthcare network to determine whether any healthcare disadvantages exist. METHODS: This is a retrospective audit of 179 795 presentations to the ED from 1 July 2011 to 30 June 2012. Measures included socioeconomic status, general practitioner nomination, triage category status, primary diagnosis recorded, length of stay and the outcome of stay, including numbers leaving before and after medical treatment was commenced. RESULTS: ATSI people were found to live in the lower socioeconomic regions of the network s catchment area, were more likely to attend the ED (135.5 non-ATSI persons presenting per 1000 non-ATSI persons and 210.4 ATSI persons presenting per 1000 ATSI persons), less likely to nominate a general practitioner (73.3 vs 82.1 ; OR 0.60, 95 CI 0.51-0.71), more likely to leave before (5.5 vs 4.0 ; OR 1.40, 95 CI 1.09-1.80) or after treatment had commenced (3.2 vs 2.3 ; OR 1.43, 95 CI 1.03-1.97), and were more likely to re-attend the ED than non-ATSI people (OR 1.24, 95 CI 1.06-1.46). CONCLUSION: ATSI people living in Melbourne s south-east have social and health utilisation inequities, which might have an impact on their health status.
Original languageEnglish
Pages (from-to)573-579
Number of pages7
JournalEMA - Emergency Medicine Australasia
Volume25
Issue number6
DOIs
Publication statusPublished - 2013

Cite this

@article{fb8860c56a174e6f9461e8f6e60f1b1e,
title = "Characteristics of Aboriginal and Torres Strait Islander presentations to three Victorian emergency departments",
abstract = "OBJECTIVES: Aboriginal and Torres Strait Islander (ATSI) people have significant health disparity compared with other Australians. The present study examines the characteristics of ATSI patients presenting to three EDs of a single healthcare network to determine whether any healthcare disadvantages exist. METHODS: This is a retrospective audit of 179 795 presentations to the ED from 1 July 2011 to 30 June 2012. Measures included socioeconomic status, general practitioner nomination, triage category status, primary diagnosis recorded, length of stay and the outcome of stay, including numbers leaving before and after medical treatment was commenced. RESULTS: ATSI people were found to live in the lower socioeconomic regions of the network s catchment area, were more likely to attend the ED (135.5 non-ATSI persons presenting per 1000 non-ATSI persons and 210.4 ATSI persons presenting per 1000 ATSI persons), less likely to nominate a general practitioner (73.3 vs 82.1 ; OR 0.60, 95 CI 0.51-0.71), more likely to leave before (5.5 vs 4.0 ; OR 1.40, 95 CI 1.09-1.80) or after treatment had commenced (3.2 vs 2.3 ; OR 1.43, 95 CI 1.03-1.97), and were more likely to re-attend the ED than non-ATSI people (OR 1.24, 95 CI 1.06-1.46). CONCLUSION: ATSI people living in Melbourne s south-east have social and health utilisation inequities, which might have an impact on their health status.",
author = "Martin, {Catherine Ann} and Smith, {Tammy Ruth} and Andis Graudins and George Braitberg and Rose Chapman",
year = "2013",
doi = "10.1111/1742-6723.12152",
language = "English",
volume = "25",
pages = "573--579",
journal = "EMA - Emergency Medicine Australasia",
issn = "1742-6731",
publisher = "Wiley-Blackwell",
number = "6",

}

TY - JOUR

T1 - Characteristics of Aboriginal and Torres Strait Islander presentations to three Victorian emergency departments

AU - Martin, Catherine Ann

AU - Smith, Tammy Ruth

AU - Graudins, Andis

AU - Braitberg, George

AU - Chapman, Rose

PY - 2013

Y1 - 2013

N2 - OBJECTIVES: Aboriginal and Torres Strait Islander (ATSI) people have significant health disparity compared with other Australians. The present study examines the characteristics of ATSI patients presenting to three EDs of a single healthcare network to determine whether any healthcare disadvantages exist. METHODS: This is a retrospective audit of 179 795 presentations to the ED from 1 July 2011 to 30 June 2012. Measures included socioeconomic status, general practitioner nomination, triage category status, primary diagnosis recorded, length of stay and the outcome of stay, including numbers leaving before and after medical treatment was commenced. RESULTS: ATSI people were found to live in the lower socioeconomic regions of the network s catchment area, were more likely to attend the ED (135.5 non-ATSI persons presenting per 1000 non-ATSI persons and 210.4 ATSI persons presenting per 1000 ATSI persons), less likely to nominate a general practitioner (73.3 vs 82.1 ; OR 0.60, 95 CI 0.51-0.71), more likely to leave before (5.5 vs 4.0 ; OR 1.40, 95 CI 1.09-1.80) or after treatment had commenced (3.2 vs 2.3 ; OR 1.43, 95 CI 1.03-1.97), and were more likely to re-attend the ED than non-ATSI people (OR 1.24, 95 CI 1.06-1.46). CONCLUSION: ATSI people living in Melbourne s south-east have social and health utilisation inequities, which might have an impact on their health status.

AB - OBJECTIVES: Aboriginal and Torres Strait Islander (ATSI) people have significant health disparity compared with other Australians. The present study examines the characteristics of ATSI patients presenting to three EDs of a single healthcare network to determine whether any healthcare disadvantages exist. METHODS: This is a retrospective audit of 179 795 presentations to the ED from 1 July 2011 to 30 June 2012. Measures included socioeconomic status, general practitioner nomination, triage category status, primary diagnosis recorded, length of stay and the outcome of stay, including numbers leaving before and after medical treatment was commenced. RESULTS: ATSI people were found to live in the lower socioeconomic regions of the network s catchment area, were more likely to attend the ED (135.5 non-ATSI persons presenting per 1000 non-ATSI persons and 210.4 ATSI persons presenting per 1000 ATSI persons), less likely to nominate a general practitioner (73.3 vs 82.1 ; OR 0.60, 95 CI 0.51-0.71), more likely to leave before (5.5 vs 4.0 ; OR 1.40, 95 CI 1.09-1.80) or after treatment had commenced (3.2 vs 2.3 ; OR 1.43, 95 CI 1.03-1.97), and were more likely to re-attend the ED than non-ATSI people (OR 1.24, 95 CI 1.06-1.46). CONCLUSION: ATSI people living in Melbourne s south-east have social and health utilisation inequities, which might have an impact on their health status.

UR - http://www.ncbi.nlm.nih.gov/pubmed/24308614

U2 - 10.1111/1742-6723.12152

DO - 10.1111/1742-6723.12152

M3 - Article

VL - 25

SP - 573

EP - 579

JO - EMA - Emergency Medicine Australasia

JF - EMA - Emergency Medicine Australasia

SN - 1742-6731

IS - 6

ER -