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Health department collaboration with emergency departments as a model for public health programs among at-risk populations.

Publication ,  Journal Article
Lyons, MS; Lindsell, CJ; Ledyard, HK; Frame, PT; Trott, AT
Published in: Public Health Rep
2005

OBJECTIVES: Accessing at-risk and underserved populations for intervention remains a major obstacle for public health programs. Emergency departments (EDs) care for patients not otherwise interacting with the health care system, and represent a venue for such programs. A variety of perceived and actual barriers inhibit widespread implementation of ED-based public health programs. Collaboration between local health departments and EDs may overcome such barriers. The goal of this study was to assess the effectiveness of a health department-funded, ED-based public health program in comparison with other similar community-based programs through analysis of data reported by health department-funded HIV counseling and testing centers in one Ohio county. METHOD: Data for HIV counseling and testing at publicly funded sites in southwestern Ohio from January 1999 through December 2002 were obtained from the Ohio Department of Health. Demographic and risk-factor profiles were compared between the counseling and testing program located in the ED of a large, urban teaching hospital and the other publicly funded centers in the same county. RESULTS: A total of 26,382 patients were counseled and tested; 5,232 were ED patients, and 21,150 were from community sites. HIV positivity was 0.86% (95% confidence interval [CI] 0.64%, 1.15%) in the ED and 0.65% (95% CI 0.55%, 0.77%) elsewhere. The ED program accounted for 19.8% of all tests and 24.7% of all positive results. The ED notified 77.3% of individuals testing positive and 84.4% of individuals testing negative. At community program centers, 88.3% of patients testing positive and 63.8% of patients testing negative were notified of results. All ED patients notified of positive status were successfully referred to infectious disease specialists. CONCLUSIONS: Public health programs can operate effectively in the ED. EDs should have a rapidly expanding role in the national public health system.

Duke Scholars

Published In

Public Health Rep

DOI

ISSN

0033-3549

Publication Date

2005

Volume

120

Issue

3

Start / End Page

259 / 265

Location

United States

Related Subject Headings

  • Vulnerable Populations
  • United States
  • Public Health Administration
  • Public Health
  • Ohio
  • Middle Aged
  • Male
  • Interinstitutional Relations
  • Humans
  • HIV Seropositivity
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lyons, M. S., Lindsell, C. J., Ledyard, H. K., Frame, P. T., & Trott, A. T. (2005). Health department collaboration with emergency departments as a model for public health programs among at-risk populations. Public Health Rep, 120(3), 259–265. https://doi.org/10.1177/003335490512000307
Lyons, Michael S., Christopher J. Lindsell, Holly K. Ledyard, Peter T. Frame, and Alexander T. Trott. “Health department collaboration with emergency departments as a model for public health programs among at-risk populations.Public Health Rep 120, no. 3 (2005): 259–65. https://doi.org/10.1177/003335490512000307.
Lyons MS, Lindsell CJ, Ledyard HK, Frame PT, Trott AT. Health department collaboration with emergency departments as a model for public health programs among at-risk populations. Public Health Rep. 2005;120(3):259–65.
Lyons, Michael S., et al. “Health department collaboration with emergency departments as a model for public health programs among at-risk populations.Public Health Rep, vol. 120, no. 3, 2005, pp. 259–65. Pubmed, doi:10.1177/003335490512000307.
Lyons MS, Lindsell CJ, Ledyard HK, Frame PT, Trott AT. Health department collaboration with emergency departments as a model for public health programs among at-risk populations. Public Health Rep. 2005;120(3):259–265.
Journal cover image

Published In

Public Health Rep

DOI

ISSN

0033-3549

Publication Date

2005

Volume

120

Issue

3

Start / End Page

259 / 265

Location

United States

Related Subject Headings

  • Vulnerable Populations
  • United States
  • Public Health Administration
  • Public Health
  • Ohio
  • Middle Aged
  • Male
  • Interinstitutional Relations
  • Humans
  • HIV Seropositivity