Language and utilisation of emergency care in Queensland

Mahmoud, I., Hou, X.-Y., Chu, K. and Clark, M. (2013) Language and utilisation of emergency care in Queensland. EMA - Emergency Medicine Australasia, 25 1: 40-45. doi:10.1111/1742-6723.12017

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Author Mahmoud, I.
Hou, X.-Y.
Chu, K.
Clark, M.
Title Language and utilisation of emergency care in Queensland
Journal name EMA - Emergency Medicine Australasia   Check publisher's open access policy
ISSN 1742-6731
Publication date 2013-01-01
Sub-type Article (original research)
DOI 10.1111/1742-6723.12017
Open Access Status Not Open Access
Volume 25
Issue 1
Start page 40
End page 45
Total pages 6
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Subject 2711 Emergency Medicine
Abstract Objective: To compare access and utilisation of EDs in Queensland public hospitals between people who speak only English at home and those who speak another language at home. Methods: A retrospective analysis of a Queensland statewide hospital ED dataset (ED Information System) from 1 January 2008 to 31 December 2010 was conducted. Access to ED care was measured by the proportion of the state's population attending EDs. Logistic regression analyses were performed to determine the relationships between ambulance use and language, and between hospital admission and language, both after adjusting for age, sex and triage category. Results: The ED utilisation rate was highest in English only speakers (290 per 1000 population), followed by Arabic speakers (105), and lowest among German speakers (30). Compared with English speakers, there were lower rates of ambulance use in Chinese (odds ratio 0.50, 95% confidence interval, 0.47-0.54), Vietnamese (0.87, 0.79-0.95), Arabic (0.87, 0.78-0.97), Spanish (0.56, 0.50-0.62), Italian (0.88, 0.80-0.96), Hindi (0.61, 0.53-0.70) and German (0.87, 0.79-0.90) speakers. Compared with English speakers, German speakers had higher admission rates (odds ratio 1.17, 95% confidence interval, 1.02-1.34), whereas there were lower admission rates in Chinese (0.90, 0.86-0.99), Arabic (0.76, 0.67-0.85) and Spanish (0.83, 0.75-0.93) speakers. Conclusion: This study showed that there was a significant association between lower utilisation of emergency care and speaking languages other than English at home. Further researches are needed using in-depth methodology to investigate if there are language barriers in accessing emergency care in Queensland.
Keyword Emergency care
Language barrier
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Medicine Publications
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Created: Mon, 17 Mar 2014, 18:15:36 EST by Matthew Lamb on behalf of School of Medicine