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Growth in Western Australian emergency department demand during 2007-2013 is due to people with urgent and complex care needs.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Aboagye-Sarfo, Patrick Mai, Qun Sanfilippo, Frank M. Preen, David B. Stewart, Louise M. Fatovich, Daniel M.
Spatial Coverage	Western Australia
Description	Country affiliation: Australia Author Affiliation: Aboagye-Sarfo P ( Clinical Modelling, Health System Improvement Unit, Innovation and Health System Reform, Department of Health, Perth, Western Australia, Australia.); Mai Q ( Clinical Modelling, Health System Improvement Unit, Innovation and Health System Reform, Department of Health, Perth, Western Australia, Australia.); Sanfilippo FM ( Centre for Health Services Research, School of Population Health, The University of Western Australia, Perth, Western Australia, Australia.); Preen DB ( Clinical Epidemiology Unit, School of Population Health, The University of Western Australia, Perth, Western Australia, Australia.); Stewart LM ( Centre for Health Services Research, School of Population Health, The University of Western Australia, Perth, Western Australia, Australia.); Fatovich DM ( Centre for Population Health Research, Curtin University, Perth, Western Australia, Australia.)
Abstract	OBJECTIVES: To determine the magnitude and characteristics of the increase in ED demand in Western Australia (WA) from 2007 to 2013. METHODS: We conducted a population-based longitudinal study examining trends in ED demand, stratified by area of residence, age group, sex, Australasian Triage Scale category and discharge disposition. The outcome measures were annual number and rate of ED presentations. We calculated average annual growth, and age-specific and age-standardised rates. We assessed the statistical significance of trends, overall and within each category, using the Mann-Kendall trend test and analysis of variance ANOVA. We also calculated the proportions of growth in ED demand that were attributable to changes in population and utilisation rate. RESULTS: From 2007 to 2013, ED presentations increased by an average 4.6% annually from 739,742 to 945,244. The rate increased 1.4% from 354.1 to 382.6 per 1000 WA population (P = 0.02 for the trend). The main increase occurred in metropolitan WA, age 45+ years, triage category 2 and 3 and admitted cohorts. Approximately three-quarters of this increase was due to population change (growth and ageing) and one-quarter due to increase in utilisation. CONCLUSION: Our study reveals a 4.6% annual increase in ED demand in WA in 2007-2013, mostly because of an increase in people with urgent and complex care needs, and not a shift (demand transfer) from primary care. This indicates that a system-wide integrated approach is required for demand management.
File Format	HTM / HTML
ISSN	17426731
Issue Number	3
Volume Number	27
e-ISSN	17426723
Journal	Emergency Medicine Australasia
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2015-06-01
Publisher Place	Australia
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Emergency Medicine Emergency Service, Hospital Trends Health Services Needs And Demand Adolescent Age Factors Aged Analysis Of Variance Female Hospitalization Humans Longitudinal Studies Male Middle Aged Retrospective Studies Sex Factors Triage Western Australia Young Adult Journal Article
Content Type	Text
Resource Type	Article
Subject	Emergency Medicine

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Growth in Western Australian emergency department demand during 2007-2013 is due to people with urgent and complex care needs.