Characteristics of Occasional and Frequent Emergency Department Users
Do Insurance Coverage and Access to Care Matter
Dados Bibliográficos
| ID | 9101802 |
|---|---|
| Autores | Stephen Zuckerman (Urban Institute), Yu-Chu Shen, Yu‐Chu Shen (0000-0003-1097-0345, Urban Institute) |
| Ano | 2004 |
| Volume | 42 |
| Fascículo | 2 |
| Páginas | 176-182 |
| Data de publicação | 2004-02-01 |
| Peer Reviewed | Sim |
| Open Access | Não |
| Tipo | ARTICLE |
| Periódico | Medical Care (JOURNAL) |
| Identificadores do periódico | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Editora | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/01.mlr.0000108747.51198.41 |
| PMID | 14734955 |
| OpenAlex | W2070630147 |
| Idioma | EN |
| Citações recebidas | 22 |
| Referências citadas | 19 |
OBJECTIVE: The objective of this study was to explore how insurance coverage, access to care, and other individual characteristics are related to the large differences in emergency department (ED) use among the general population. MATERIALS AND METHODS: We used the 1997 and 1999 National Survey of America's Families, a nationally representative sample. People were classified into 3 ED use levels based on the number of visits over the 12 months before the survey: non-ED users (zero visits), occasional users (1 or 2 visits), or frequent users (3 or more visits). We used a multinomial logit model to estimate the effect of insurance status and other factors on levels of ED use, and to compute the odds ratios of being occasional and frequent users as opposed to nonusers among various subpopulations. RESULTS: People in fair/poor health are 3.64 times more likely than others to be frequent ED users as compared with nonusers. The uninsured and the privately insured adults have the same risk of being frequent users, but publicly insured adults are 2.08 times more likely to be frequent users. Adults who made 3 or more visits to doctors are 5.29 times more likely to be frequent ED users than those who made no such visits. CONCLUSION: The uninsured do not use more ED visits than the insured population as is sometimes argued. Instead, the publicly insured are overrepresented among ED users. Frequent ED users do not appear to use the ED as a substitute for their primary care but, in fact, are a less healthy population who need and use more care overall
Emergency department · Environmental health · Family medicine · Health care · Health insurance · Logistic regression · Medical emergency · Multinomial logistic regression · National Health Interview Survey · Odds · Odds ratio · Population · Psychiatry · Demography · Emergency and Acute Care Studies · Food Security and Health in Diverse Populations · Healthcare Policy and Management · Medicine
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Social factors in frequent callers
Economic Problems and Loneliness as Factors Related to Subjective Unmet Health Needs in People with Chronic Diseases and Dependency
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Assessing the contribution of migration related policies to equity in access to healthcare in European countries. A multilevel analysis
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The impact of unstable housing on emergency department use in a cohort of HIV-positive people in a Canadian setting
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The Role of Race/Ethnicity in the Relationship Between Emergency Department Use and Intimate Partner Violence
Predictors of Multiple Emergency Department Utilization Among Frequent Emergency Department Users in 3 States
Minding the Gap
Medicaid Managed Care in Florida and Racial and Ethnic Disparities in Preventable Emergency Department Visits
Community Characteristics Affecting Emergency Department Use by Medicaid Enrollees
Association Between Primary Care Practice Characteristics and Emergency Department Use in a Medicaid Managed Care Organization
Subjective unmet need and utilization of health care services in Canada
New Zealand Healthline call data used to measure the effect of travel time on the use of the emergency department
Left Out
Exogeneity
An Illustration of a Pitfall in Estimating the Effects of Aggregate Variables on Micro Units
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Nonurgent Emergency Department Visits
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Heavy users of an emergency department-A two year follow-up study
| Obras citantes distintas | 22 |
|---|---|
| Citações por ano | 1,05 |
| Intervalo de citações | 2005 - 2023 (19) |
| Velocidade de citação | historical |
| Altamente citado | Não |
| Tipos de citação | Neutras: 20 |