TITLE

Analysis of Emergency Room Use for Primary Care Needs

AUTHOR(S)
Glick, Doris F.; Thompson, karen MacDonald
PUB. DATE
January 1997
SOURCE
Nursing Economic$;Jan/Feb97, Vol. 15 Issue 1, p42
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
A better understanding of the factors that determine how and why people use services can contribute to more appropriate and cost-effective models for care delivery. This study examined the use of an emergency room (ER) in a large tertiary care medical center by low income residents of public housing to identify the predisposing, enabling, and need factors and to evaluate the intensity and type of emergency services used. Patient needs in a significant number of ER visits could have been more appropriately met in a primary care setting. Evidence suggests the most common reason for such non-urgent use is the lack of a primary care provider. Many people who do not have adequate health insurance use an ER as their source of primary care. Community-based primary care centers are an appropriate means of optimizing the availability and accessibility of services that focus on the unique needs of various populations while relieving hospital ERs of inappropriate and costly demands for care. INSET: Executive Summay.
ACCESSION #
12312245

 

Related Articles

  • Opening the curtain. Harder, Ben // U.S. News & World Report;9/10/2001, Vol. 131 Issue 9, p64 

    Focuses on the issue of allowing relatives to be with patients in the emergency department. How rules regarding this practice are changing; Assertion that having the family visit with patients in the emergency room may benefit both the patient and relatives; Need for hospital employees to keep...

  • GROUNDING THE FREQUENT FLIERS. CANTLUPE, JOE // HealthLeaders Magazine;Apr2013, Vol. 16 Issue 3, p10 

    The article presents information on frequent fliers, which covers patients with varying needs in the U.S. The urgency of grounding frequent fliers is stated to have prompted hospitals and academics to initiate some strategies. Frequent fliers are impacting the emergency departments of hospitals...

  • Vantage point. Kay, Jenny // Nursing Management - UK;Jun2003, Vol. 10 Issue 3, p7 

    Comments on the acute and emergency department of Darent Valley Hospital in Great Britain. Factors that contributed to the success of the department; Services for patients in the unit; Goals of the unit.

  • Incidence and Economic Burden of Adverse Drug Reactions among Elderly Patients in Ontario Emergency Departments. Chen Wu; Bell, Chaim M.; Wodchis, Walter P. // Drug Safety;2012, Vol. 35 Issue 9, p769 

    Background: The rapid rise in the availability and use of pharmaceutical agents, and particularly polypharmacy, directly increases the risk for patients to experience adverse drug reactions (ADRs). There are few studies on the overall incidence and costs of ADRs. Objective: The aim of this study...

  • Your actions can reduce tension over long ED waits.  // Hospital Access Management;Feb2010, Vol. 29 Issue 2, p23 

    The article discusses how hospital access staff can reduce patients' tension over long waits at emergency departments (EDs). According to Amy M. Kirkland from a hospital in South Carolina, patients feel that hospitals are not concerned about their care but only about money and access staff...

  • Balance billing by the numbers.  // Modern Healthcare;8/18/2008, Vol. 38 Issue 33, p31 

    The article reports on updates concerning balance billing in the U.S. There are around 1.76 million Californians who received balance bills after being treated at emergency rooms (ERs). The average balance bill of insured patient is $300. There are 8 states in the country that regulate balance...

  • City ERs Undergo Triage. Messina, Judith // Crain's New York Business;10/27/2003, Vol. 19 Issue 43, p23 

    Joseph S. Orlando, chief executive of Jacobi Medical Center in the Bronx, New York, had no particular plans to upgrade hospital's emergency room-until he found himself a patient there. Like Jacobi, hospitals all over the city are scrambling to make their emergency rooms more patient-friendly....

  • The doctor will be with you ... shortly? Woodworth, Lindsey // Journal of Regulatory Economics;Apr2014, Vol. 45 Issue 2, p138 

    The Emergency Medical Treatment and Active Labor Act (EMTALA) requires that Medicare-participating hospitals screen and stabilize all individuals appearing in their emergency departments, regardless of expected compensation. To counter the incentive to prioritize revenue-generating patients, the...

  • CRAIN'S LIST: CHICAGO'S LARGEST HOSPITALS. Fenrick, Katrina; Peterson, Kathryn; Pospichal, Marie // Crain's Chicago Business;12/27/2004, Vol. 27 Issue 52, p133 

    This article presents a list of largest hospitals of Chicago, Illinois.Of the 18 hospitals reporting net earnings in 2003, seven saw increases from a year earlier. No. 19 Elmhurst Memorial Hospital says its bottom line increased fourfold to nearly $16 million because of cost-cutting, higher...

Share

Read the Article

Courtesy of NEW JERSEY STATE LIBRARY

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics