A retrospective, comparative analysis of A&E attendance paserns in Irish Traveller versus non-Traveller general practice patients.
Humans
Retrospective Studies
Ireland
General Practice
/ statistics & numerical data
Adult
Female
Male
Emergency Service, Hospital
/ statistics & numerical data
Travel
/ statistics & numerical data
Middle Aged
Young Adult
Referral and Consultation
/ statistics & numerical data
Adolescent
Patient Acceptance of Health Care
/ statistics & numerical data
Roma
/ statistics & numerical data
Health Services Accessibility
/ statistics & numerical data
Aged
Child
Child, Preschool
Journal
The British journal of general practice : the journal of the Royal College of General Practitioners
ISSN: 1478-5242
Titre abrégé: Br J Gen Pract
Pays: England
ID NLM: 9005323
Informations de publication
Date de publication:
20 Jun 2024
20 Jun 2024
Historique:
medline:
21
6
2024
pubmed:
21
6
2024
entrez:
20
6
2024
Statut:
epublish
Résumé
Very little is known about Gypsy, Roma, and Traveller health, or access to and utilisation of health care. They are not coded in NHS data systems and there are multiple barriers including illiteracy, digital exclusion, and discrimination. To gain rare insight into Irish Traveller patients' emergency healthcare utilisation and outcomes. A retrospective general practice review of A&E attendances was performed from January to December 2017, comparing Travellers with the rest of the practice patient population. A search was done for all A&E attendance letters and related admissions. Blind review of the diagnosis and management were assessed by two reviewers for appropriateness of attendance at A&E. The frequency and recurrence of A&E attendances, referral pathway toA&E, location of A&E, and age distribution were compared. Traveller patients attending A&E were younger. There were fewer repeat attendances in the travelling community but proportionally more in the Traveller under-20-year-old cohort. Only 38% of A&E attendances in Travellers (56% non-Travellers) were deemed appropriate (χ This work throws light on health service utilisation patterns by Irish Travellers. A&E attendances may have been more suited to a non-emergency setting and there may have been missed opportunities for contact with primary care or NHS 111, which may have an impact on continuity, onward referral, and quality of care.
Sections du résumé
BACKGROUND
BACKGROUND
Very little is known about Gypsy, Roma, and Traveller health, or access to and utilisation of health care. They are not coded in NHS data systems and there are multiple barriers including illiteracy, digital exclusion, and discrimination.
AIM
OBJECTIVE
To gain rare insight into Irish Traveller patients' emergency healthcare utilisation and outcomes.
METHOD
METHODS
A retrospective general practice review of A&E attendances was performed from January to December 2017, comparing Travellers with the rest of the practice patient population. A search was done for all A&E attendance letters and related admissions. Blind review of the diagnosis and management were assessed by two reviewers for appropriateness of attendance at A&E. The frequency and recurrence of A&E attendances, referral pathway toA&E, location of A&E, and age distribution were compared.
RESULTS
RESULTS
Traveller patients attending A&E were younger. There were fewer repeat attendances in the travelling community but proportionally more in the Traveller under-20-year-old cohort. Only 38% of A&E attendances in Travellers (56% non-Travellers) were deemed appropriate (χ
CONCLUSION
CONCLUSIONS
This work throws light on health service utilisation patterns by Irish Travellers. A&E attendances may have been more suited to a non-emergency setting and there may have been missed opportunities for contact with primary care or NHS 111, which may have an impact on continuity, onward referral, and quality of care.
Identifiants
pubmed: 38902102
pii: 74/suppl_1/bjgp24X737769
doi: 10.3399/bjgp24X737769
pii:
doi:
Types de publication
Journal Article
Comparative Study
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© British Journal of General Practice 2024.