Abstract

Objective:This study examines the association between community-level marginalization and emergency room (ER) wait time in Ontario.Methods:Data sources included ER wait time data and Ontario Marginalization Index scores. Linear regression models were used to quantify the association.Results:A positive association between total marginalization and overall, high-acuity and low-acuity ER wait time was found. Considering specific marginalization dimensions, we found positive associations between residential instability and ER wait time and negative associations between dependency and ER wait time.Conclusions:Reductions in community-level marginalization may impact ER wait time. Future studies using individual-level data are necessary.

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