Western Journal of Emergency Medicine · 7 authors, 4 centres
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A cross-sectional study of 494 underserved ED patients found that a volunteer-led discharge intervention providing medical and social resources was associated with lower odds of ED revisits within 30 days and higher odds of follow-up appointment adherence within 90 days.
This cross-sectional study analyzed 494 ED encounters at a large county hospital between September 2017 and June 2018. A majority of patients (83.6%) requested at least one resource, with dental care and food/insurance assistance being the most common. Using logistic regression, the authors found that patients who requested both medical and social resources had lower odds of 30-day ED revisits (OR 0.50; 95% CI 0.27–0.95) compared to those who requested no resources. Patients who received a social resource had higher odds of 90-day follow-up appointment adherence (OR 4.75; 95% CI 1.49–15.20), and those who received a medical resource similarly showed higher adherence (OR 2.56; 95% CI 1.05–6.25). Males and county financial assistance program enrollees had higher odds of ED revisits, while Hispanic/Latino and Spanish-speaking patients had lower odds.
