Emergency department utilization and determinants of use by 0- to 6-year-old children with disabilities in Taipei

Shang Wei Hsu, Ya Wen Lin, Miao Ju Chwo, Hui Chi Huang, Chia Feng Yen, Lan Ping Lin, Jia Ling Wu, Jin Ding Lin

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Although many studies have explored emergency services for children, there are few published reports of the utilization of emergency services by children with disabilities. The present study attempts to provide data regarding the utilization of, and factors affecting, emergency department visits by disabled children in Taipei. A general census of 1006 children with disabilities, identified from the Taiwan National Disability Registry System in Taipei, was conducted. The overall response rate was 38%, yielding a sample of 340 disabled children. The results showed that 30.1% of children with disabilities had utilized emergency department services over the past 4 months with an average of 1.4 visits per child. The most common reasons for emergency visits were fever (34.7%), respiratory symptoms (24.2%), abdominal pain (15.8%), injury (7.4%), and epilepsy seizures (7.4%). This study also found, using a logistic regression model, that emergency department utilization may be associated with household economic status and the reported physical health of children with disabilities. The 'deficit' and 'balance' household economic status groups gave odds ratios of 3.902 (95% CI = 1.469-10.364) and 3.311 (95% CI = 1.249-8.779), relative to the 'surplus' group. The model also indicated that those children with disabilities who were reported as being in poor physical health had 11.359 times (95% CI = 2.968-43.469) the likelihood of using emergency care than those whose physical health was in excellent condition. The study suggests that in order to maximize the health of children with disabilities, medical care stakeholders should consider who are the most likely groups to use emergency department services and develop anticipatory guidance or preventive services for this vulnerable population.

Original languageEnglish
Pages (from-to)774-781
Number of pages8
JournalResearch in Developmental Disabilities
Volume30
Issue number4
DOIs
Publication statusPublished - Jul 1 2009
Externally publishedYes

Fingerprint

Disabled Children
Hospital Emergency Service
Emergencies
Health
Logistic Models
Economics
Emergency Medical Services
Vulnerable Populations
Censuses
Taiwan
Abdominal Pain
Registries
Epilepsy
Seizures
Fever
Odds Ratio
Wounds and Injuries

Keywords

  • Access to care
  • Children with disabilities
  • Emergency department
  • Health care utilization
  • Health services access

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Clinical Psychology

Cite this

Emergency department utilization and determinants of use by 0- to 6-year-old children with disabilities in Taipei. / Hsu, Shang Wei; Lin, Ya Wen; Chwo, Miao Ju; Huang, Hui Chi; Yen, Chia Feng; Lin, Lan Ping; Wu, Jia Ling; Lin, Jin Ding.

In: Research in Developmental Disabilities, Vol. 30, No. 4, 01.07.2009, p. 774-781.

Research output: Contribution to journalArticle

Hsu, Shang Wei ; Lin, Ya Wen ; Chwo, Miao Ju ; Huang, Hui Chi ; Yen, Chia Feng ; Lin, Lan Ping ; Wu, Jia Ling ; Lin, Jin Ding. / Emergency department utilization and determinants of use by 0- to 6-year-old children with disabilities in Taipei. In: Research in Developmental Disabilities. 2009 ; Vol. 30, No. 4. pp. 774-781.
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