Sociodemographic determinants in the hospitalization decision : evaluation of an emergency department interhospital transfer policy.
To evaluate an emergency department's « treat and transfer » policy during a two-month period of reduced inpatient capacity by determining the number and characteristics of transferred patients not admitted as planned to the receiving hospital.
Matched case-control analysis.
Public hospital adult ED.
Type of participants
Patients transferred to other hospitals for admission.
Measurements and main results
Twelve percent of patients (16 of 135) were not admitted after transfer during the first month, and 8% during the two-month period.
Only IV drug use was found to be significantly associated with an increased risk of discharge without admission (odds ratio=9.5, 95% confidence interval, 1.9 to 47.8).
Mots-clés Pascal : Sans domicile fixe, Trouble psychiatrique, Toxicomanie, Statut social, Race, Homme, Transfert, Admission hopital, Critère décision, Refus, Aspect social, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : No fixed abode, Mental disorder, Drug addiction, Social status, Race, Human, Transfer, Hospital admission, Decision criterion, Denial, Social aspect, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0480492
Code Inist : 002B30A03B. Création : 199406.