Socioeconomic Disparities Are Negatively Associated with Pediatric Emergency Department Aftercare Compliance

N. Ewen Wang*, Michael A. Gisondi, Mana Golzari, Theresa M. Van der Vlugt, Methodius Tuuli

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

Abstract

Objectives: This study sought to identify demographic, socioeconomic, and clinical predictors of aftercare noncompliance by pediatric emergency department (ED) patients. Methods: The authors conducted a prospective, observational study of pediatric patients presenting to a university teaching hospital ED from July 1, 2002, through August 31, 2002. Demographic and clinical information was obtained from guardians during the ED visit. Guardians were contacted after discharge to determine compliance with ED aftercare instructions. Subjects were excluded if they were admitted or if guardians were unavailable or unwilling to consent. Data were analyzed using multivariable logistic regression to identify predictors of noncompliance from a list of predetermined variables. Results: Of the 409 patients enrolled in the study, 111 were prescribed medications and 364 were given specific follow-up instructions. Subtypes of the variable "insurance status" were significantly associated with medication noncompliance in multivariable regression analysis. "Insurance status" and "low-acuity discharge diagnoses" were significantly associated with follow-up noncompliance. Conclusions: Disparity in health insurance has been shown to be a predictor of poor aftercare compliance for pediatric ED patients within the patient population.

Original languageEnglish (US)
Pages (from-to)1278-1284
Number of pages7
JournalAcademic Emergency Medicine
Volume10
Issue number11
DOIs
StatePublished - Nov 2003

Keywords

  • Aftercare
  • Emergency medicine
  • Follow-up studies
  • Logistic models
  • Pediatrics
  • Social class

ASJC Scopus subject areas

  • Emergency Medicine

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