ArticlePloS one2013
The combined influence of distance and neighbourhood deprivation on Emergency Department attendance in a large English population: a retrospective database study.
Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
25 citing papers in PubMed.
- Review
- Are amblyopia therapy outcomes related to socioeconomic situation for children in Greater Manchester?Eye (London, England) · 2026Article
- Factors associated with admission before the day of elective major surgery: an analysis of data from the UK Perioperative Quality Improvement Programme.British journal of anaesthesia · 2026Observational
- Driving factors in pediatric emergency department use: an ecological retrospective study.PloS one · 2026Article
- Sociodemographic factors that influence COVID-19 healthcare utilization and costs in Alberta, Canada: a population-based study using the Alberta COVID-19 analytics and research database.Frontiers in health services · 2026Article
- Frequent Users of Emergency Departments: Analysis of the Characteristics and Geographical Distribution in a Local Health Authority in Rome, Italy.Healthcare (Basel, Switzerland) · 2025Article
- Role of distance in the utilization of emergency departments for non-traumatic dental conditions in Maryland, USA, 2017-2021.BMC health services research · 2025Article
- The role of mesolevel characteristics of the health care system and socioeconomic factors on health care use - results of a scoping review.International journal for equity in health · 2024Article
- Article
- Mortality risk following self-harm in young people: a population cohort study using the Northern Ireland Registry of Self-Harm.Journal of child psychology and psychiatry, and allied disciplines · 2023Article
- Factors associated with longer wait times, admission and reattendances in older patients attending emergency departments: an analysis of linked healthcare data.Emergency medicine journal : EMJ · 2023Observational
- Emergency department utilisation by homeless children in Dublin, Ireland: a retrospective review.BMJ paediatrics open · 2022Article
- Population Access to Hospital Emergency Departments: The Spatial Analysis in Public Health Research.International journal of environmental research and public health · 2022Article
- Article
- Factors associated with emergency room visits and hospitalisation amongst low-income public rental flat dwellers in Singapore.BMC public health · 2019Article
- Socio-demographic patterns in hospital admissions and accident and emergency attendances among young people using linkage to NHS Hospital Episode Statistics: results from the Avon Longitudinal Study of Parents and Children.BMC health services research · 2019Article
- Article
- Is the use of emergency departments socially patterned?International journal of public health · 2018Observational
- Population and patient factors affecting emergency department attendance in London: retrospective cohort analysis of linked primary and secondary care records.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- Associations between parental mental health and other family factors and healthcare utilisation among children and young people: a retrospective, cross-sectional study of linked healthcare data.BMJ paediatrics open · 2018Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The frequency of visits to Emergency Departments (ED) varies greatly between populations. This may reflect variation in patient behaviour, need, accessibility, and service configuration as well as the complex interactions between these factors. This study investigates the relationship between distance, socio-economic deprivation, and proximity to an alternative care setting (a Minor Injuries Unit (MIU)), with particular attention to the interaction between distance and deprivation. It is set in a population of approximately 5.4 million living in central England, which is highly heterogeneous in terms of ethnicity, socio-economics, and distance to hospital. The study data set captured 1,413,363 ED visits made by residents of the region to National Health Service (NHS) hospitals during the financial year 2007/8. Our units of analysis were small units of census geography having an average population of 1,545. Separate regression models were made for children and adults. For each additional kilometre of distance from a hospital, predicted child attendances fell by 2.2% (1.7%-2.6% p<0.001) and predicted adult attendances fell by 1.5% (1.2% -1.8%, p<0.001). Compared to the least deprived quintile, attendances in the most deprived quintile more than doubled for children (incident rate ratio (IRR) = 2.19, (1.90-2.54, p<0.001)) and adults (IRR 2.26, (2.01-2.55, p<0.001)). Proximity of an MIU was significant and both adult and child attendances were greater in populations who lived further away from them, suggesting that MIUs may reduce ED demand. The interaction between distance and deprivation was significant. Attendance in deprived neighbourhoods reduces with distance to a greater degree than in less deprived ones for both adults and children. In conclusion, ED use is related to both deprivation and distance, but the effect of distance is modified by deprivation.
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