Emergency department use as a component of total ambulatory care: a population perspective

 

Table 2: Association of neighbourhood predisposing, enabling and need factors with the rate of emergency department contact per 100 ambulatory visits
   Univariate linear regression    Multivariate linear regression   
Measure r2 ß SE* p value† r2 ß SE* p value
Predisposing factors
% of population female 0.039 0.092 0.044 0.038 --         
% of population aged < 15 yr 0.007 0.022 0.025 NS --         
% of population aged > 65 yr 0.008 0.014 0.015 NS --         
% of population with treaty Indian status 0.412 0.258 0.029 < 0.001 0.188 0.171 0.034 < 0.001
Enabling factors
Distance to emergency department, km‡ 0.238 0.194 0.033 < 0.001 --         
Mean household income ($10 000) 0.363 0.595 0.075 < 0.001 0.112 0.314 0.086 < 0.001
% of emergency department visits made during physician office hours 0.003 0.009 0.016 NS --         
Need factors
% of emergency department visits
  Urgent or emergent 0.116 0.036 0.009 < 0.001 --         
  Resulting in hospital admission 0.002 0.009 0.020 NS --         
  Associated with injury diagnosis 0.031 0.029 0.015 NS --         
  Associated with mental illness diagnosis 0.125 0.174 0.044 < 0.001 0.038 0.080 0.039 0.043
% of ambulatory visits associated with mental illness diagnosis 0.001 0.029 0.084 NS 0.052 0.158 0.065 0.018
Model R2             0.52         
*SE = standard error.
†NS = not significant.
‡Mean weighted distance to emergency department. See Methods section.

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| CMAJ January 13, 1998 (vol 158, no 1) / JAMC le 13 janvier 1998 (vol 158, no 1) |