Do people with a usual source of care use the emergency department less?
Medical care provided in a hospital’s emergency department (ED) costs substantially more than care provided in a doctor’s office, and up to 56% of ED visits are preventable according to one study – suggesting room for cost savings by reducing the number of ED visits. This might be achieved by encouraging more patients to have a non-ED usual source of care, which could: 1) reduce the need for ED care by promoting better health through preventive care; and 2) prompt patients to seek care from their usual source of care instead of an ED. This study examines whether having an office-based usual source of care reduces the likelihood of visiting an ED, using the Medical Expenditure Panel Survey (MEPS) for a panel of respondents surveyed from 2002 to 2003. After controlling for health status and various socio-economic characteristics, my logit regression analysis indicates that people with an office-based usual source of care have 17% lower odds of seeking care in an ED over a two-year period compared to people who lack an office-based usual source of care. These findings suggest that policies aimed at increasing the number of people with an office-based usual source of care could decrease the number of ED admissions.
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Ethical, Financial, and Legal Considerations to Implementing Emergency Department HIV Screening: A Report From the 2007 Conference of the National Emergency Department HIV Testing Consortium Waxman, Michael J; Popick, Rachel S; Merchant, Roland C; Rothman, Richard E; Shahan, Judy B; Almond, Gregory (2011-07)We seek to identify and analyze, from a group of participants experienced with HIV screening, the perceived challenges and solutions to the ethical, financial, and legal considerations of emergency department (ED)-based ...