EXPRESS: An Investigation into Demographic Disparities in Emergency Department Disposition Decisions

IF 4.8 3区 管理学 Q1 ENGINEERING, MANUFACTURING Production and Operations Management Pub Date : 2024-02-14 DOI:10.1177/10591478241235000
Qian Cheng, N. T. Argon, Christopher S. Evans, Peter Lin, B. Linthicum, Yufeng Liu, Abhi Mehrotra, Mehul D. Patel, S. Ziya
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Abstract

We investigate the presence of health disparities in emergency department (ED) disposition decisions and if crowding levels might have an exacerbating role. Using data from a large, academic Emergency Department (ED), we find statistically significant associations between ED disposition decisions and patient sex, race, as well as ethnicity, with male, Caucasian, and non-Hispanic patients being more likely to be admitted to the hospital compared with respectively, female, African-American, and Hispanic patients. In line with earlier findings in other studies, we find that longer waiting times, suggesting higher levels of ED crowding, is associated with higher rates of admission. Moreover, longer ED wait times modified sex differences, suggesting that the disposition disparity in female patients might be exacerbated when the ED is more crowded.
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快讯:急诊科处置决定中的人口差异调查
我们研究了急诊科(ED)处置决定中是否存在健康差异,以及拥挤程度是否会加剧健康差异。通过使用一个大型学术性急诊科(ED)的数据,我们发现急诊科的处置决定与患者的性别、种族和民族有显著的统计学关联,男性、白种人和非西班牙裔患者分别比女性、非裔美国人和西班牙裔患者更有可能入院治疗。与其他研究的早期发现一致,我们发现等候时间越长,表明急诊室拥挤程度越高,入院率也越高。此外,较长的急诊室等待时间改变了性别差异,这表明当急诊室更加拥挤时,女性患者的处置差异可能会加剧。
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来源期刊
Production and Operations Management
Production and Operations Management 管理科学-工程:制造
CiteScore
7.50
自引率
16.00%
发文量
278
审稿时长
24 months
期刊介绍: The mission of Production and Operations Management is to serve as the flagship research journal in operations management in manufacturing and services. The journal publishes scientific research into the problems, interest, and concerns of managers who manage product and process design, operations, and supply chains. It covers all topics in product and process design, operations, and supply chain management and welcomes papers using any research paradigm.
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