Multiple reasons for Pacific patients presenting at ED with non-urgent conditions

Publicly released:
New Zealand; Pacific
Giantflightlessbirds, CC BY-SA 3.0 <https://creativecommons.org/licenses/by-sa/3.0>, via Wikimedia Commons
Giantflightlessbirds, CC BY-SA 3.0 <https://creativecommons.org/licenses/by-sa/3.0>, via Wikimedia Commons

More and more people are visiting emergency departments, and an increasing proportion of them are seeking help for non-urgent conditions. Pacific people are high users of EDs - in 2019-20 21% of Pacific and 22% of Māori reported an Emergency Department visit in the previous 12 months, compared to 15% of the total population. Researchers surveyed patients visiting the Counties Manukau Emergency Department with non-urgent conditions, and found that the most were advised to do so by a health professional. This is contrary to the belief that people use Emergency Departments because they don’t know that they should see their GPs, and more research is needed to make sure that programmes to discourage people from using Emergency Departments do not have unintended consequences.

Media release

From: Pasifika Medical Association Group

A lot of money and time is being spent on educating people to stay out of Emergency Department
unless it is a life threatening emergency. This is especially true for Pacific people, who appear to
use Emergency Departments more than other ethnicities. In 2019, a survey was done of people
who came to the Emergency Department at Counties Manukau Health with a medical condition
that was considered by the Emergency Department nurse to be non-urgent, on why they had come
to the Emergency Department. The most common reason for coming to the Emergency
Department for Pacific people (as well as for other ethnicities) were that they were told to do so by
a health professional, including their GPs. This is contrary to the belief that people are using
Emergency Departments because they don’t know that they should see their GPs, and further
studies should be done to make sure that programmes to discourage people from using Emergency
Departments do not have unintended consequences.

Journal/
conference:
New Zealand Medical Journal
Organisation/s: University of Auckland, Te Aho o Te Kahu Cancer Control Agency, Wellington, New Zealand
Funder: We thank Health Workforce New Zealand and the New Zealand College of Public Health Medicine for their payment of a stipend to Catherine Yang to undertake this research.
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