Article Instance

HTTP 200 OK
Allow: GET
Content-Type: application/json
Vary: Accept

{
    "pk": 61830,
    "title": "Follow-Up Behavior of Patients Who Leave Without Being Seen from a Hybrid Point of Service Collection Emergency Department",
    "subtitle": null,
    "abstract": "Introduction:\n This study aims to assess follow-up behaviors of patients who leave without being seen (LWBS) from a hybrid point of service (POS) collection model Emergency Department (ED).\nMethods:\n A cross-sectional survey was administered to patients who LWBS from a hybrid POS collection model ED, one-week post-ED visit, at an academic tertiary care medical center in Lebanon, between June 2016 and May 2017.\nResults:\n LWBS patients were found to be young, males, and present with conditions of lower urgency and presenting mainly with a musculoskeletal chief complaint. Majority (66.8%) left because of third party payer denial of visit coverage followed by cost of visit (12.6%) and wait times (12.6%). A greater percentage of those who LWBS due to financial reasons were male (64.1% vs 33.3%, p <0.001) and waited less (23.4 min vs 30.8 min, p=0.08) compared to those who left for non-financial reasons. The majority of LWBS patients sought medical care within the week after leaving the ED (78.4%), primarily at ambulatory clinics (89.9%) with few at emergency departments (10.1%). Few required admission to hospital (4.2%) and no mortalities were reported. A greater percentage of those who left because of financial barriers, felt the same/better after leaving the ED (82.1% vs 66.7%, p=0.03), sought care at alternate sites (82.1% vs 66.7%, p=0.03), primarily ambulatory clinics (94.1%, p=0.003), with fewer requiring admission to the hospital within one well (1.4% vs 13.3%, p=003). Irrespective of the reason for LWBS, all patients who sought care at an ambulatory clinic, did so at a different institution (100.0%).\nConclusion:\n While the majority of patients who left without being seen from a hybrid POS collection ED left for financial reasons, a high percentage sought care at ambulatory clinics after leaving the ED.  Larger-scale studies are needed to adequately assess the outcomes of those patients, especially in areas with limited access to primary care ambulatory services.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Leave without being seen, clinical outcomes, point-of-service collection model, and emergency department."
        }
    ],
    "section": "Original Research",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0kv188nk",
    "frozenauthors": [
        {
            "first_name": "Dima",
            "middle_name": "",
            "last_name": "Hadid",
            "name_suffix": "",
            "institution": "Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, PO Box 11-0236, Lebanon",
            "department": ""
        },
        {
            "first_name": "Mazen",
            "middle_name": "",
            "last_name": "El Sayed",
            "name_suffix": "",
            "institution": "Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, PO Box 11-0236, Lebanon",
            "department": ""
        },
        {
            "first_name": "Eveline",
            "middle_name": "",
            "last_name": "Hitti",
            "name_suffix": "",
            "institution": "Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, PO Box 11-0236, Lebanon",
            "department": ""
        }
    ],
    "date_submitted": "2022-06-21T04:58:33-07:00",
    "date_accepted": "2022-06-21T04:58:33-07:00",
    "date_published": "2021-12-31T16:00:00-08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_medjem/article/61830/galley/47697/download/"
        }
    ]
}