Growth in Western Australian emergency department demand during 2007–2013 is due to people with urgent and complex care needs
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 c...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
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Blackwell Publishing
2015
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| Online Access: | http://hdl.handle.net/20.500.11937/24828 |
| _version_ | 1848751537138958336 |
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| author | Aboagye-Sarfo, P. Mai, Q. Sanfilippo, F. Preen, D. Stewart, Louise Fatovich, D. |
| author_facet | Aboagye-Sarfo, P. Mai, Q. Sanfilippo, F. Preen, D. Stewart, Louise Fatovich, D. |
| author_sort | Aboagye-Sarfo, P. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T07:54:18Z |
| format | Journal Article |
| id | curtin-20.500.11937-24828 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:54:18Z |
| publishDate | 2015 |
| publisher | Blackwell Publishing |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-248282019-02-19T05:35:24Z Growth in Western Australian emergency department demand during 2007–2013 is due to people with urgent and complex care needs Aboagye-Sarfo, P. Mai, Q. Sanfilippo, F. Preen, D. Stewart, Louise Fatovich, D. characteristic of ED demand trend analysis population growth and ageing emergency department demand demand transfer 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. 2015 Journal Article http://hdl.handle.net/20.500.11937/24828 10.1111/1742-6723.12396 Blackwell Publishing fulltext |
| spellingShingle | characteristic of ED demand trend analysis population growth and ageing emergency department demand demand transfer Aboagye-Sarfo, P. Mai, Q. Sanfilippo, F. Preen, D. Stewart, Louise Fatovich, D. Growth in Western Australian emergency department demand during 2007–2013 is due to people with urgent and complex care needs |
| title | Growth in Western Australian emergency department demand during 2007–2013 is due to people with urgent and complex care needs |
| title_full | Growth in Western Australian emergency department demand during 2007–2013 is due to people with urgent and complex care needs |
| title_fullStr | Growth in Western Australian emergency department demand during 2007–2013 is due to people with urgent and complex care needs |
| title_full_unstemmed | Growth in Western Australian emergency department demand during 2007–2013 is due to people with urgent and complex care needs |
| title_short | Growth in Western Australian emergency department demand during 2007–2013 is due to people with urgent and complex care needs |
| title_sort | growth in western australian emergency department demand during 2007–2013 is due to people with urgent and complex care needs |
| topic | characteristic of ED demand trend analysis population growth and ageing emergency department demand demand transfer |
| url | http://hdl.handle.net/20.500.11937/24828 |