![]() ![]() The University of Florida Institutional Review board approved the study and data collection in advance. Research staff informed patients that study participation was voluntary. Using systematic sampling, RAs approached every sixth patient during 12-hour recruitment periods, conducted the informed consent process, and documented reasons for refusal. For example, if 30% of the general ED population presented on weekends during a given month in the preceding year, 30% of recruitment occurred on the weekend for that month. Trained research associates (RAs) approached patients based on the arrival patterns of the general ED population in the 12 months prior to study entry. Exclusion criteria included severely impaired vision, hearing problems, being in police custody, or being too ill to participate (e.g., hemodynamic instability, respiratory compromise). We considered patients eligible to participate if they were English-speaking (considered English as their first language) and were able to provide written informed consent. We conducted patient recruitment for 18 months, ending in December, 2015. The objective of this study was to determine the association of health literacy with preventable use of the ED. 9 However, the impact of limited health literacy on ED visits that are preventable with timely and effective ambulatory care is unknown. ![]() 5– 16 Individuals with limited health literacy not only use the ED more frequently than those with adequate health literacy, but they are more likely to return to the ED after an initial encounter. In addition to well-established measures of healthcare disparities such as race and ioeconomic status, limited health literacy is a characteristic associated with underserved and vulnerable populations that can lead to disparities in healthcare access, use and outcomes. and traditionally underserved, minority populations and individuals residing in high-poverty neighborhoods appear to be most at risk for preventable ED visits. 3, 4 Between 20, there was an 11% increase in potentially preventable ED visits in the U.S. ![]() 2 The ability to access high-quality outpatient care is not only reflected in the need for hospital admission but also in resource-intensive ED encounters. 2 Thus, ACSCs can be thought of as a snapshot of community health service quality and unmet community healthcare needs. 2 Hospital-based care for ACSCs provide insight into the quality and efficiency of the local healthcare delivery system and services outside the hospital setting. 1Īmbulatory care sensitive conditions (ACSC) are defined by AHRQ as conditions for which ely and appropriate outpatient care can prevent disease complications, more severe ease, or need for hospitalization. healthcare delivery system can be improved by reducing potentially preventable ED visits. The Agency for Healthcare Research and Quality (AHRQ) suggests that the quality and efficiency of the U.S. health care system and delays care for patients with emergent conditions. Policymakers and health system managers have long argued that use of the emergency department (ED) for conditions preventable with high-quality outpatient care contributes to waste and inefficiency within the U.S. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |