Researchers call for long-term, consistent funding for primary, emergency, hospital, and long-term care.
Higher rates of leaving the emergency department without being seen are linked to increased short-term mortality or hospitalization, according to a cohort study in Ontario, Canada .
In the two periods, patient characteristics were similar across age, sex, neighborhood-level income quartile, history of being unhoused, rurality, CCI, day, time, and mode of arrival. The median age was 40 years for the baseline period and 42 years for the recent period. Similar trends were seen at 30 days for all-cause mortality or hospitalization despite similar rates of post-ED outpatient visits .The proportion of LWBS visits categorized as emergent on the Canadian Triage and Acuity Scale was higher during the recent period , and fewer visits were categorized as semiurgent . This finding suggested a higher acuity of illness among patients who LWBS in the recent period.
“Unfortunately, because of politics, since 2020, ED closures in Ontario have become more and more common and seem to be affecting more and more Ontarians,” said McNaughton. “It would be surprising if ED closure didn’t play some role in our findings.” How much of the findings might be related to recent ED closures, longer ED wait times, or other factors? Are there geographic variations in risk?
To address the current situation, McNaughton said, “We need consistent, predictable, and sustained investment in our public healthcare system. We need long-term, consistent funding for primary care, ED care, as well as hospital and long-term care.”
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