New survey identifies the social influences in people attending A&E

A survey of 20 disadvantaged neighbourhoods across the North West (UK) has revealed the social influences on why people attend their local Accident & Emergency department.

Researchers from the University of Liverpool, supported by the National Institute for Health Research (NIHR), conducted a household health survey including over 3,500 face-to-face interviews with households randomly selected in communities across Lancashire, Cheshire and Merseyside.

31% of survey respondents had attended A&E in the previous 12 months with individual attendance rates ranging between 1 and 95 visits. Age was a big factor in potential visits, with 18-26 year olds three times more likely to attend A&E compared to those above 64 years of age

Other outputs from the research, published in the online journal BMJ Open, suggested a lack of a job increased the likelihood of A&E attendance by 38% and poor housing conditions increased attendance by 34%.

Participants were asked to complete general background about their , , lifestyle, social issues, housing, environment, finances and local health service usage. Households were approached at different times during the day to ensure a mix of sample participants.

Depression, a need for help with , access to and household proximity to A&E departments were other key factors found to influence an individual's decision on whether to attend. Those living closer to an A&E department also formed a higher proportion of attendees while the distance from their local GP surgery could also influence a decision to attend.

Dr. Clarissa Giebel, a Research Manager at the University of Liverpool, said: "This is one of the first surveys to explore a comprehensive set of socio-economic factors, as well as proximity to both GP and A&E services, as predictors of A&E attendance in disadvantaged areas

"A&E attendance rates are rapidly on the increase and are particularly high in disadvantaged areas.

"In order to reduce A&E attendances we need to consider wider factors communities are facing. Inequalities around employment and housing are an important part of understanding the motivations for attendance levels and there is a clear need for closer consideration of the placement of primary care services and ensuring clearer public access routes to them."

The research also identified that higher levels of education were associated with an increased likelihood of A&E attendance and having more than one illness did not automatically mean people would be more likely to attend A&E, when compared to someone with a single condition.


Explore further

Long-term health conditions drive A&E visits, not lack of GP services

More information: Clarissa Giebel et al, What are the social predictors of accident and emergency attendance in disadvantaged neighbourhoods? Results from a cross-sectional household health survey in the north west of England, BMJ Open (2019). DOI: 10.1136/bmjopen-2018-022820
Journal information: BMJ Open

Citation: New survey identifies the social influences in people attending A&E (2019, January 17) retrieved 17 September 2019 from https://medicalxpress.com/news/2019-01-survey-social-people-ae.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
2 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more