{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T12:49:00Z","timestamp":1793105340528,"version":"4.5.0"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T00:00:00Z","timestamp":1732665600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100023360","name":"St Vincent's Hospital Melbourne","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100023360","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The purpose of the present study was to use telephone follow\u2010up (TFU) to investigate the actions taken by patients after they took their own leave (TOL) from an ED, with a focus on priority groups who are at risk of experiencing health inequity. These included people experiencing homelessness (EH), people with a low socioeconomic status by index of relative socioeconomic disadvantage (IRSD) and First Nations people. The primary outcome was being seen by a general practitioner (GP) within 2\u2009days of the TOL event. The utility of the TFU was also examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was an observational study of data collected during a quality improvement intervention at an inner\u2010city, tertiary, teaching hospital in Melbourne from January to December 2022. Descriptive results were obtained from a TFU survey that was administered 24\u201348\u2009h after the TOL event.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the study period, 4209 patients TOL from the ED. Eight hundred forty\u2010one of these were contacted and consented to the TFU survey. 97.7% of patients expressed gratitude at being followed up. Patients EH, compared to patients not EH, were less likely to have seen their GP within 2\u2009days of TOL event (0.295 [0.132\u20130.661], <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Both First Nations patients and those from low IRSD areas were as likely to have seen their GP within 2\u2009days as other groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients EH were less likely to receive GP care within 2\u2009days of TOL. Improving the access and acceptability of health care in these priority groups is important for achieving health equity.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.14536","type":"journal-article","created":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T05:14:16Z","timestamp":1732770856000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["What they did next: Using follow\u2010up phone calls to investigate health care access patterns of patients who take their own leave"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9835-370X","authenticated-orcid":false,"given":"Isabelle","family":"Stewart","sequence":"first","affiliation":[{"name":"Department of Medicine, Faculty of Medicine, Dentistry and Health Sciences The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Emergency Medicine St Vincent's Hospital Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8193-6454","authenticated-orcid":false,"given":"Sam","family":"Freeman","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine St Vincent's Hospital Melbourne  Melbourne Victoria Australia"},{"name":"Centre for Health Informatics, Australian Institute of Health Innovation Macquarie University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0414-2802","authenticated-orcid":false,"given":"Georgina","family":"Phillips","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine St Vincent's Hospital Melbourne  Melbourne Victoria Australia"},{"name":"Department of Critical Care, Faculty of Medicine, Dentistry and Health Sciences The University of Melbourne  Melbourne Victoria Australia"},{"name":"School of Public Health and Preventative Medicine Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Maplesden","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine St Vincent's Hospital Melbourne  Melbourne Victoria Australia"},{"name":"Department of Critical Care, Faculty of Medicine, Dentistry and Health Sciences The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9597-3504","authenticated-orcid":false,"given":"Deborah","family":"Barnes","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine St Vincent's Hospital Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Soderland","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine St Vincent's Hospital Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7911-9546","authenticated-orcid":false,"given":"Jennie","family":"Hutton","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine, Dentistry and Health Sciences The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Critical Care, Faculty of Medicine, Dentistry and Health Sciences The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Public Health La Trobe University  Melbourne Victoria Australia"},{"name":"Victoria Virtual Emergency Department Northern Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,27]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"ACEM.Quality standards for emergency departments and other hospital\u2010based emergency care services objective: initiation of care [Internet].2015. 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