@article{ref1,
title="Determinants of emergency department use: are race and ethnicity important?",
journal="Annals of emergency medicine",
year="1996",
author="Baker, D. W. and Stevens, C. D. and Brook, R. H.",
volume="28",
number="6",
pages="677-682",
abstract="STUDY OBJECTIVE: To determine whether race/ethnicity is an important determinant of emergency department use. METHODS: We conducted a cross-sectional survey in a public ED to determine self-reported ED visits over the preceding 3 months. The study group comprised consecutive ambulatory patients (N = 1,049) with nonemergency medical problems. RESULTS: Blacks, whites, and Hispanics were equally likely to report one or more visits to an ED in the 3 months before study enrollment. Blacks were the most likely to report two or more ED visits in the preceding 3 months (19.0%), followed by whites (13.5%) and Hispanics (11.4%) (P = .01; unadjusted odds ratio, 1.82 for blacks versus Hispanics). In multivariate analysis, older age (P < .001), health insurance coverage (P < .001), regular source of care (P < .001), and difficulty obtaining transportation to a physician's office (P = .011) were positively associated with two or more previous ED visits. After adjustment for these variables, race/ethnicity was not significantly associated with ED use (P = .23; adjusted odds ratio for blacks versus Hispanics, 1.48 [95% confidence interval, .95 to 2.30]). CONCLUSION: Race/ethnicity was not an important determinant of ED use after adjustment for age, health insurance coverage, regular source of care, and barriers to health care. Population-based studies of ED use should be conducted to further evaluate whether racial/ethnic differences in ED use exist that are not explained by differences in demographics, health, socioeconomic status, access to care, or other determinants of ED use.<p /><p>Language: en</p>",
language="en",
issn="0196-0644",
doi="",
url="http://dx.doi.org/"
}