{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T19:30:39Z","timestamp":1793215839205,"version":"4.5.0"},"reference-count":44,"publisher":"CMA Impact Inc.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["cmajo"],"published-print":{"date-parts":[[2022,1]]},"DOI":"10.9778\/cmajo.20210131","type":"journal-article","created":{"date-parts":[[2022,3,15]],"date-time":"2022-03-15T12:23:48Z","timestamp":1647347028000},"page":"E220-E231","source":"Crossref","is-referenced-by-count":14,"title":["People who make frequent emergency department visits based on persistence of frequent use in Ontario and Alberta: a retrospective cohort study"],"prefix":"10.9778","volume":"10","author":[{"given":"Jessica","family":"Moe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elle (Yuequiao)","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret J.","family":"McGregor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Schull","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Dong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian R.","family":"Holroyd","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corinne M.","family":"Hohl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Grafstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"O\u2019Sullivan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna","family":"Trimble","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberlyn M.","family":"McGrail","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"382","published-online":{"date-parts":[[2022,3,15]]},"reference":[{"key":"2022031505202363000_10.1.E220.1","doi-asserted-by":"publisher","DOI":"10.9778\/cmajo.20200168"},{"key":"2022031505202363000_10.1.E220.2","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1097\/MEJ.0000000000000314","article-title":"Frequent users of the emergency department services in the largest academic hospital in the Netherlands: a 5-year report","volume":"24","author":"Bertoli-Avella","year":"2017","journal-title":"Eur J Emerg Med"},{"key":"2022031505202363000_10.1.E220.3","unstructured":"Health Quality Ontario (2016) Under pressure: emergency department performance in Ontario (Queen\u2019s Printer for Ontario, Toronto)."},{"key":"2022031505202363000_10.1.E220.4","first-page":"e658","article-title":"Does better access to FPs decrease the likelihood of emergency department use? Results from the Primary Care Access Survey","volume":"58","author":"Mian","year":"2012","journal-title":"Can Fam Physician"},{"key":"2022031505202363000_10.1.E220.5","unstructured":"(2014) Sources of potentially avoidable emergency department visits (Canadian Institute for Health Information, Ottawa) Available: https:\/\/secure.cihi.ca\/free_products\/ED_Report_ForWeb_EN_Final.pdf . accessed 2021 Apr. 28."},{"key":"2022031505202363000_10.1.E220.6","unstructured":"(2014) Pan-Canadian forum on high users of health care: summary report (Canadian Institute for Health Information, Toronto) Available: https:\/\/secure.cihi.ca\/free_products\/highusers_summary_report_revised_EN_web.pdf . accessed 2021 Apr. 28."},{"key":"2022031505202363000_10.1.E220.7","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2014.1186"},{"key":"2022031505202363000_10.1.E220.8","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1037\/ser0000113","article-title":"Cost of health care utilization among homeless frequent emergency department users","volume":"14","author":"Mitchell","year":"2017","journal-title":"Psychol Serv"},{"key":"2022031505202363000_10.1.E220.9","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.150064"},{"key":"2022031505202363000_10.1.E220.10","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2017.0658"},{"key":"2022031505202363000_10.1.E220.11","doi-asserted-by":"crossref","first-page":"e0229022","DOI":"10.1371\/journal.pone.0229022","article-title":"Persistent frequent emergency department users with chronic conditions: a population-based cohort study","volume":"15","author":"Chiu","year":"2020","journal-title":"PLoS One"},{"key":"2022031505202363000_10.1.E220.12","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39335.541782.AD"},{"key":"2022031505202363000_10.1.E220.13","unstructured":"(2017) Dynamic cohort of complex, high system users \u2014 2011\u20132015 (Canadian Institutes of Health Research, Ottawa) Available: https:\/\/cihr-irsc.gc.ca\/e\/50129.html#section_1 . accessed 2021 Apr. 24."},{"key":"2022031505202363000_10.1.E220.14","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2009.079160"},{"key":"2022031505202363000_10.1.E220.15","unstructured":"(2018) Data quality documentation, national ambulatory care reporting system: current-year information, 2017\u02132018 (Canadian Institute for Health Information, Ottawa) Available: www.cihi.ca\/sites\/default\/files\/document\/current-year-information-nacrs-2017-2018-en-web.pdf . accessed 2021 Apr. 28."},{"key":"2022031505202363000_10.1.E220.16","unstructured":"Discharge Abstract Database metadata (DAD) (Canadian Institute for Health Information, Ottawa) Available: https:\/\/www.cihi.ca\/en\/discharge-abstract-database-metadata-dad . accessed 2021 Apr. 28."},{"key":"2022031505202363000_10.1.E220.17","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.191730"},{"key":"2022031505202363000_10.1.E220.18","unstructured":"du Plessis V Beshiri R Bollman RD (2001) Rural Small Town Canada Anal Bull, Definitions of rural. Cat (21)-006XIE. Available: www150.statcan.gc.ca\/n1\/pub\/21-006-x\/-21-006-x2001003-eng.pdf , 3, 3, accessed 2021 Apr. 24."},{"key":"2022031505202363000_10.1.E220.19","unstructured":"(2020) Hospital Mental Health Database (HMHDB). 2018\u20132019 user documentation (Canadian Institute for Health Information, Ottawa) Available: http:\/\/secure.cihi.ca\/free_products\/HMHDB-user-documentation-2018-2019-en.pdf . accessed 2021 May 31."},{"key":"2022031505202363000_10.1.E220.20","doi-asserted-by":"crossref","first-page":"S18","DOI":"10.1017\/cem.2017.365","article-title":"Revisions to the Canadian Emergency Department Triage and Acuity Scale (CTAS) guidelines 2016","volume":"19","author":"Bullard","year":"2017","journal-title":"CJEM"},{"key":"2022031505202363000_10.1.E220.21","unstructured":"(2016) Canadian Triage and Acuity Scale (CTAS) (CTAS National Working Group, Ottawa) Available: http:\/\/ctas-phctas.ca\/?page_id=294 . accessed 2021 Oct. 27."},{"key":"2022031505202363000_10.1.E220.22","doi-asserted-by":"publisher","DOI":"10.1186\/1757-7241-19-68"},{"key":"2022031505202363000_10.1.E220.23","doi-asserted-by":"crossref","first-page":"2159","DOI":"10.1016\/j.ajem.2019.03.006","article-title":"Validity of the Japan acuity and triage scale in elderly patients: a cohort study","volume":"37","author":"Kuriyama","year":"2019","journal-title":"Am J Emerg Med"},{"key":"2022031505202363000_10.1.E220.24","doi-asserted-by":"publisher","DOI":"10.4103\/1947-2714.161243"},{"key":"2022031505202363000_10.1.E220.25","unstructured":"Home care reporting system metadata (Canadian Institute for Health Information, Ottawa) Available: https:\/\/www.cihi.ca\/en\/home-care-reporting-system-metadata . accessed 2021 May 13."},{"key":"2022031505202363000_10.1.E220.26","doi-asserted-by":"publisher","DOI":"10.1080\/02813430903072215"},{"key":"2022031505202363000_10.1.E220.27","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/ags024"},{"key":"2022031505202363000_10.1.E220.28","unstructured":"(2020) Hospital stays for harm caused by substance use: appendices to indicator library (Canadian Institute for Health Information, Ottawa) Available: http:\/\/indicatorlibrary.cihi.ca\/download\/attachments\/15565197\/Hospital%20Stays%20for%20Harm%20Caused%20by%20Substance%20Use%20%20%E2%80%94%20Appendices.pdf?version=1&modificationDate=1588097505000&api=v2 . accessed 2021 Apr. 24."},{"key":"2022031505202363000_10.1.E220.29","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(92)90133-8"},{"key":"2022031505202363000_10.1.E220.30","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"2022031505202363000_10.1.E220.31","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwq433"},{"key":"2022031505202363000_10.1.E220.32","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2004.09.007"},{"key":"2022031505202363000_10.1.E220.33","doi-asserted-by":"publisher","DOI":"10.1197\/j.aem.2005.11.084"},{"key":"2022031505202363000_10.1.E220.34","doi-asserted-by":"publisher","DOI":"10.1097\/00063110-200510000-00004"},{"key":"2022031505202363000_10.1.E220.35","doi-asserted-by":"publisher","DOI":"10.9778\/cmajo.20200168"},{"key":"2022031505202363000_10.1.E220.36","doi-asserted-by":"crossref","first-page":"938","DOI":"10.1186\/s12913-020-05774-6","article-title":"Frequent users of emergency departments and patient flow in Alberta and Ontario, Canada: an administrative data study","volume":"20","author":"Chen","year":"2020","journal-title":"BMC Health Serv Res"},{"key":"2022031505202363000_10.1.E220.37","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(95)90975-3"},{"key":"2022031505202363000_10.1.E220.38","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1080\/08897077.2019.1671942","article-title":"Understanding why patients with substance use disorders leave the hospital against medical advice: a qualitative study","volume":"41","author":"Simon","year":"2020","journal-title":"Subst Abus"},{"key":"2022031505202363000_10.1.E220.39","doi-asserted-by":"crossref","first-page":"e0237650","DOI":"10.1371\/journal.pone.0237650","article-title":"Identifying healthcare experiences associated with perceptions of racial\/ethnic discrimination among veterans with pain: a cross-sectional mixed methods survey","volume":"15","author":"Hausmann","year":"2020","journal-title":"PLoS One"},{"key":"2022031505202363000_10.1.E220.40","doi-asserted-by":"crossref","first-page":"e12346","DOI":"10.1002\/emp2.12346","article-title":"Identifying subgroups and risk among frequent emergency department users in British Columbia","volume":"2","author":"Moe","year":"2021","journal-title":"J Am Coll Emerg Physicians Open"},{"key":"2022031505202363000_10.1.E220.41","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.130029"},{"key":"2022031505202363000_10.1.E220.42","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-010-1371-4"},{"key":"2022031505202363000_10.1.E220.43","doi-asserted-by":"publisher","DOI":"10.1111\/acem.13060"},{"key":"2022031505202363000_10.1.E220.44","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0123660"}],"container-title":["CMAJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.9778\/cmajo.20210131","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T21:22:35Z","timestamp":1700342555000},"score":1,"resource":{"primary":{"URL":"http:\/\/cmajopen.ca\/lookup\/doi\/10.9778\/cmajo.20210131"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":44,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,3,15]]},"published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.9778\/cmajo.20210131"],"URL":"https:\/\/doi.org\/10.9778\/cmajo.20210131","relation":{},"ISSN":["2291-0026"],"issn-type":[{"value":"2291-0026","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}