This study by Carla Brim from the United States analyses why people seek non-urgent care in emergency departments during hours when community providers are available. Results indicate that lack of healthcare insurance and having public insurance are the factors most closely associated with such use of emergency departments. This information can be used to bring about change in policymaking decisions about healthcare assessments.
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| http://dx.doi.org/10.7748/nr2008.04.15.3.72.c6458 | DOI Listing |
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Travel Time as an Indicator of Poor Access to Care in Surgical Emergencies.
JAMA Netw Open
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Department of Surgery, University of Washington, Seattle.
Importance: Timely access to care is a key metric for health care systems and is particularly important in conditions that acutely worsen with delays in care, including surgical emergencies. However, the association between travel time to emergency care and risk for complex presentation is poorly understood.
Objective: To evaluate the impact of travel time on disease complexity at presentation among people with emergency general surgery conditions and to evaluate whether travel time was associated with clinical outcomes and measures of increased health resource utilization.
[Description of early deaths of nursing home residents hospitalized after admission in emergency department].
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Service de médecine gériatrique Charles-Nicolle, CHU, Rouen, France, Unirouen, Inserm U1096, Université Normandie, Rouen, France.
A quarter of nursing home residents dies in hospital. Few data are available about early in-hospital deaths of nursing home residents. The aim of the study was to describe the characteristics of early in-hospital deaths of nursing home residents after an admission in emergency department and to identify factors associated with a decision of limitation of care in emergency department.
View Article and Find Full Text PDF[Impact of a mobile geriatric psychiatry team on post-hospitalization emergency department consultations and rehospitalization].
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Pôle territorial Santé Publique, Hôpitaux Champagne Sud, Troyes, France, UR3797 Unité de Recherche VieFra, Université de Reims Champagne Ardennes, Reims France.
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J Ultrasound Med
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Preventable hospitalizations through ED: does the number of hospital beds matter under the global budget in a single-payer system in Taiwan?
Front Public Health
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Division of Medical Statistics and Bioinformatics, Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan.
Background: Taiwan implemented global hospital budgeting with a floating-point value, which created a prisoner's dilemma. As a result, hospitals increased service volume, which caused the floating-point value to drop to less than one New Taiwan Dollar (NTD). The recent increase in the number of hospital beds and the call to enhance the floating-point value to one NTD raise concerns about the potential for increased financial burden without adding value to patient care if hospitals expand their bed capacity for volume-based competition.
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