Academic Journal
Patients Visiting Multiple Emergency Departments: Patterns, Costs, and Risk Factors
| العنوان: | Patients Visiting Multiple Emergency Departments: Patterns, Costs, and Risk Factors |
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| المؤلفون: | Lyons, Todd W., Olson, Karen L., Palmer, Nathan P., Horwitz, Reed, Mandl, Kenneth D., Fine, Andrew M. |
| المساهمون: | Hauswald, Mark, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Aetna |
| المصدر: | Academic Emergency Medicine ; volume 24, issue 11, page 1349-1357 ; ISSN 1069-6563 1553-2712 |
| بيانات النشر: | Wiley |
| سنة النشر: | 2017 |
| المجموعة: | Wiley Online Library (Open Access Articles via Crossref) |
| الوصف: | Objectives We sought to characterize the population of patients seeking care at multiple emergency departments ( ED s) and to quantify the proportion of all ED visits and costs accounted for by these patients. Methods We performed a retrospective, cohort study of deidentified insurance claims for privately insured patients with one of more ED visits between 2010 and 2016. We measured the number of ED s visited by each patient and determined the overall proportion of all ED visits and ED costs accounted for by patients who visit multiple ED s. We identified factors associated with visiting multiple ED s. Results A total of 8,651,716 patients made 16,390,676 ED visits over the study period, accounting for $26,102,831,740 in ED costs. A significant minority (20.5%) of patients visited more than one ED over the study period. However, these patients accounted for a disproportionate amount of all ED visits (41.4%) and all ED costs (39.2%). A small proportion (0.4%) of patients visited five or more ED s but accounted for 2.8% of ED visits and costs. Among patients with two ED visits within 30 days, 32% were to different ED s. Having at least one ED visit for mental health or substance abuse–related diagnosis was associated with increased odds of visiting multiple ED s. Conclusions A substantial minority of patients visit multiple ED s, but account for a disproportionate burden of overall ED utilization and costs. Future work should evaluate the impact of visiting multiple ED s on care utilization and outcomes and explore systems for improving access to patient records across care centers. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1111/acem.13304 |
| الاتاحة: | http://dx.doi.org/10.1111/acem.13304 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Facem.13304 https://onlinelibrary.wiley.com/doi/pdf/10.1111/acem.13304 |
| Rights: | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| رقم الانضمام: | edsbas.CAB35FE9 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1111/acem.13304 |
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