Public Health Information Delivery in the Emergency Department: Analysis of a Kiosk-Based Program

Abstract

<div class="section"> <a class="named-anchor" id="S1"> <!-- named anchor --> </a> <h5 class="section-title" id="d8912697e188">Background</h5> <p id="P1">As over one-third of the U.S. population visits an emergency department (ED) any given year, public health interventions in the ED can have major population-level impacts. </p> </div><div class="section"> <a class="named-anchor" id="S2"> <!-- named anchor --> </a> <h5 class="section-title" id="d8912697e193">Objectives</h5> <p id="P2">We performed a survey study to determine ED patients’ interest in receiving information via kiosk on common, chronic conditions for which education and preventive screening could offer public health benefit and to assess what topical information patients are interested in receiving. </p> </div><div class="section"> <a class="named-anchor" id="S3"> <!-- named anchor --> </a> <h5 class="section-title" id="d8912697e198">Methods</h5> <p id="P3">This is a secondary analysis of survey data from an ED pilot program Dec 2011–April 2012. Main outcome measures were patients’ interests in receiving information on health topics via kiosk module. </p> </div><div class="section"> <a class="named-anchor" id="S4"> <!-- named anchor --> </a> <h5 class="section-title" id="d8912697e203">Results</h5> <p id="P4">Over half of the 4,351 patients indicated interest in receiving information on at least one health topic including high blood pressure (30%), depression (21%), diabetes (18%), sexually transmitted diseases (STDs, 11%), drug abuse (6%), and physical abuse (3%). African American patients were more likely to be interested in receiving information on high blood pressure (odds ratio (OR) 2.7, 95% [confidence interval 2.2–3.2]), depression (OR 1.3 [1.1–1.6]), diabetes/sugar (OR 2.2 [1.8–2.8]), drug abuse (OR 1.4 [1.0–1.9]), and STDs (OR 2.6, [1.9–3.7]). Participants &gt;55 years were more likely to desire information on high blood pressure and diabetes (age 55–64 years OR 4.0 [3.1–5.1]; age &gt;64 years OR 4.4 [3.2–6.2]). Patients who were interested in receiving public health information were more likely to be older, African American, and male (p&lt;0.05). </p> </div><div class="section"> <a class="named-anchor" id="S5"> <!-- named anchor --> </a> <h5 class="section-title" id="d8912697e208">Conclusions</h5> <p id="P5">Interest in obtaining kiosk-delivered education on hypertension predominated. Kiosks are versatile tools that could be used in ED settings to provide health education services. </p> </div>