ArticleResearch in health services & regions2025
Effect of COVID-19 and other determinants on the reduction of non-urgent emergency department access in North-East Italy: does supply affect demand?
Article in Research in health services & regions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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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5 authors.
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Abstract
This study examines the impact of the COVID-19 pandemic on non-urgent emergency department (ED) utilizzation in Friuli Venezia Giulia, Italy, comparing the pre-COVID (2019) and COVID (2021) periods. A retrospective observational analysis at the municipal level assessed admission rates of non-urgent patients, identified by "white code" triage. Variables analyzed included driving time to the nearest ED, altitude, and the effect of closing first intervention points. Results showed a significant 31% reduction in non-urgent ED visits from 2019 to 2021, with a mean reduction of 37.8% in municipalities affected by ED closures. A multivariate linear model showed that increased driving time and higher pre-pandemic admission rates were both associated with greater reductions in access, while altitude showed a positive correlation with access rates. The findings suggest that service supply limitations, such as ED closures, significantly reduce non-urgent ED utilization, especially in lowland and hilly areas, but less so in mountainous regions.
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