Emergency Department and Primary Care Use by Refugees Compared to Non-refugee Controls View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-07-30

AUTHORS

Matthew A. Guess, Kawai O. Tanabe, Abigail E. Nelson, Steven Nguyen, Fern R. Hauck, Rebecca J. Scharf

ABSTRACT

The U.S. grants asylum to 60,000-70,000 refugees yearly. However, little is known about their healthcare utilization practices. We examined data from emergency department (ED) and primary care (PC) visits of 694 refugees and 738 non-refugee controls over a 3 years period at a large academic medical center, comparing visit frequencies, Emergency Severity Index (ESI) scores, diagnoses, and dispositions. Refugees used emergency care services less frequently than the non-refugee controls (1.19 vs. 2.31, p < 0.0001) while there was no difference in their use of primary care services (8.45 vs. 9.07, p = 0.18). Non-English-speaking refugees were more likely to use the ED than English-speaking refugees (mean ED use in study period 1.50 visits vs. 0.73, p < 0.0001). Refugee patients utilized emergency services less often compared to controls. These results differ from previously studied refugee populations. Refugee-specific primary care services in this study population may reduce unnecessary ED use. More... »

PAGES

1-8

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10903-018-0795-5

DOI

http://dx.doi.org/10.1007/s10903-018-0795-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1105912336

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30062541


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