Analysis of Emergency Department Encounters Among High Users of Health Care and Social Service Systems Before and During the COVID-19 Pandemic.

ABSTRACT:

Importance

Although the general US population had fewer emergency department (ED) visits during the COVID-19 pandemic, patterns of use among high users are unknown.

Objectives

To examine natural trends in ED visits among high users of health and social services during an extended period and assess whether these trends differed during COVID-19.

Design, setting, and participants

This retrospective cohort study combined data from 9 unique cohorts, 1 for each fiscal year (July 1 to June 30) from 2012 to 2021, and used mixed-effects, negative binomial regression to model ED visits over time and assess ED use among the top 5% of high users of multiple systems during COVID-19. Data were obtained from the Coordinated Care Management System, a San Francisco Department of Publi

SUBMITTER: Molina M 

PROVIDER: S-EPMC9617170 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature