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Exact(11)
This is consistent with high primary care and emergency department utilisation seen among homeless populations.
We aimed to compare emergency department utilisation rates between Spanish-born and foreign-born residents in a public hospital of Barcelona.
Thus, the purpose of this study was to assess hospital emergency department utilisation among registered Spanish-born and foreign-born adults in Barcelona in 2004.
Within primary health care, low continuity of care [ 8] and a lack of timely access to services [ 14, 15] have also been identified as increasing the risk of emergency department utilisation by older adults.
a p < 0.05 b p < 0.01 c p < 0.001 The emergency department utilisation rate among foreign-born residents, once adjusted by age and sex, was 38% lower than that among Spanish-born residents.
However, in agreement with most studies using other approaches and not adjusting by the reference population [ 5, 27- 32], our finding of lower emergency department utilisation by immigrants suggests overall lower healthcare use in this population.
Similar(49)
The finding that IHIC also showed greater emergency services utilisation department use suggests that the cause lies in overcoming barriers to access rather than in immigrants' socioeconomic position.
The expected finding of greater emergency department use services utilisation among immigrants than among Spanish-born residents was consistent among the adult population, supporting the hypothesis that immigrants overcome certain barriers by using the emergency department as the route of access to health services in preference to other routes.
Furthermore, some healthcare data were not studied in the previous works, for example, outpatient and accident and emergency department (A&E) utilisation and their associated costs.
After discharge from the primary admission the costs of GP visits, hospital emergency department visits or utilisation of 'other' health care services such as physiotherapy, home help and community nursing were included.
Annualised rates of service utilisation (emergency department [ED] presentations, ED discharges back to home, hospital admissions, and admission length of stay) before and after case conference were calculated.
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