Evidence map›Paper›PMID 30062541›Full record

ArticleJournal of immigrant and minority health2019

Emergency Department and Primary Care Use by Refugees Compared to Non-refugee Controls.

Matthew A Guess, Kawai O Tanabe, Abigail E Nelson, Steven Nguyen, Fern R Hauck, Rebecca J Scharf

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of immigrant and minority health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Pediatric emergency department use by Afghan refugees at a temporary housing facility.Journal of the American College of Emergency Physicians open · 2023
    Article
  5. Article
  6. Article
  7. Predictors of Interrupted Healthcare Coverage in a National Sample of US Refugees.Journal of racial and ethnic health disparities · 2022
    Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Matthew A GuessDepartment of Emergency Medicine, Harbor-UCLA Medical Center, Los Angeles, CA, USA.
Kawai O TanabeDepartment of Family Medicine, University of Virginia, Charlottesville, VA, USA.
Abigail E NelsonDepartment of Pediatrics, Penn State University, Hershey, PA, USA.
Steven NguyenDepartment of Family Medicine, University of New Mexico, Albuquerque, NM, USA.
Fern R HauckDepartment of Family Medicine, University of Virginia, Charlottesville, VA, USA.
Rebecca J ScharfDevelopmental Pediatrics, University of Virginia Children's Hospital, Charlottesville, VA, USA. rebeccascharf@virginia.edu.
University of Virginia · USHarbor–UCLA Medical Center · USPenn State Milton S. Hershey Medical Center · USUniversity of New Mexico · USUniversity of Virginia Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The U.S. grants asylum to 60,000-70,000 refugees yearly. However, little is known about their healthcare utilization practices. We examined data from emergency department (ED) and primary care (PC) visits of 694 refugees and 738 non-refugee controls over a 3 years period at a large academic medical center, comparing visit frequencies, Emergency Severity Index (ESI) scores, diagnoses, and dispositions. Refugees used emergency care services less frequently than the non-refugee controls (1.19 vs. 2.31, p < 0.0001) while there was no difference in their use of primary care services (8.45 vs. 9.07, p = 0.18). Non-English-speaking refugees were more likely to use the ED than English-speaking refugees (mean ED use in study period 1.50 visits vs. 0.73, p < 0.0001). Refugee patients utilized emergency services less often compared to controls. These results differ from previously studied refugee populations. Refugee-specific primary care services in this study population may reduce unnecessary ED use.

Indexed as

AdolescentAdultChildEmergency Service, HospitalFemaleHumansMalePatient Acceptance of Health CarePrimary Health CareRefugeesRetrospective StudiesUnited StatesEmergency departmentHealthcare utilizationPrimary careRefugee

Identifiers

PMID30062541
OpenAlexW2886458272

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.