Trends in Hospital Emergency Department Utilization

Trends in Hospital Emergency Department Utilization
Author: Catharine W. Burt
Publisher: National Center for Health Statistics
Total Pages: 44
Release: 2001
Genre: Health & Fitness
ISBN:

DHHS Publication PHS 2001-1721. Vital and Health Statistics. Series 13, Data from the National Health Care Survey, No. 150. Describes trends in hospital emergency department visits in the United States. Presents statistics for overall utiliation, case mix of patients, services provided, and outcome measures.

Care Without Coverage

Care Without Coverage
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 213
Release: 2002-06-20
Genre: Medical
ISBN: 0309083435

Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Emergency Care for Children

Emergency Care for Children
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 360
Release: 2007-05-08
Genre: Medical
ISBN: 0309133769

Children represent a special challenge for emergency care providers, because they have unique medical needs in comparison to adults. For decades, policy makers and providers have recognized the special needs of children, but the system has been slow to develop an adequate response to their needs. This is in part due to inadequacies within the broader emergency care system. Emergency Care for Children examines the challenges associated with the provision of emergency services to children and families and evaluates progress since the publication of the Institute of Medicine report Emergency Medical Services for Children (1993), the first comprehensive look at pediatric emergency care in the United States. This new book offers an analysis of: • The role of pediatric emergency services as an integrated component of the overall health system. • System-wide pediatric emergency care planning, preparedness, coordination, and funding. • Pediatric training in professional education. • Research in pediatric emergency care. Emergency Care for Children is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency health care providers, professional organizations, and policy makers looking to address the pediatric deficiencies within their emergency care systems.

Hospital-Based Emergency Care

Hospital-Based Emergency Care
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 424
Release: 2007-05-03
Genre: Medical
ISBN: 0309133777

Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.

Emergency Department Cluster High Utilizers

Emergency Department Cluster High Utilizers
Author: Luke Barrett
Publisher:
Total Pages: 18
Release: 2018
Genre:
ISBN:

The purpose of this research was to identify demographics of people who repeatedly have multiple emergency department visits over a short period of time, defined by this project as cluster high utilizers, and to draw attention to the impact of cluster high utilizers on health care systems. This research included retrospective hospital data organized by quantity of emergency department visits per week over a four-year period. The methods for data analysis included descriptive statistics focused on demographics and emergency department utilization for a sample of cluster high utilizers (n = 53). Cluster high utilizers in this research were most likely to be middle aged, homeless, white, male, have MediCal health insurance, not have a primary care provider, and visit the emergency department in the summer months. The results of this research indicate that cluster high utilizers represent an extremely small portion of the overall emergency department patient population (0.83%); however, they use the emergency department at significantly higher rates, in this study 2,644% more than the general patient population (N = 92,313). Further research is necessary to determine the causes of cluster high utilization and to design effective social work and emergency department interventions. Addressing this problem could prevent many unnecessary emergency department visits.

Health-Care Utilization as a Proxy in Disability Determination

Health-Care Utilization as a Proxy in Disability Determination
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 161
Release: 2018-04-02
Genre: Medical
ISBN: 030946921X

The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.