Literature DB >> 20820018

Many emergency department visits could be managed at urgent care centers and retail clinics.

Robin M Weinick1, Rachel M Burns, Ateev Mehrotra.   

Abstract

Americans seek a large amount of nonemergency care in emergency departments, where they often encounter long waits to be seen. Urgent care centers and retail clinics have emerged as alternatives to the emergency department for nonemergency care. We estimate that 13.7-27.1 percent of all emergency department visits could take place at one of these alternative sites, with a potential cost savings of approximately $4.4 billion annually. The primary conditions that could be treated at these sites include minor acute illnesses, strains, and fractures. There is some evidence that patients can safely direct themselves to these alternative sites. However, more research is needed to ensure that care of equivalent quality is provided at urgent care centers and retail clinics compared to emergency departments.

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Year:  2010        PMID: 20820018      PMCID: PMC3412873          DOI: 10.1377/hlthaff.2009.0748

Source DB:  PubMed          Journal:  Health Aff (Millwood)        ISSN: 0278-2715            Impact factor:   6.301


  20 in total

1.  Ambulatory visits to hospital emergency departments. Patterns and reasons for use. 24 Hours in the ED Study Group.

Authors:  G P Young; M B Wagner; A L Kellermann; J Ellis; D Bouley
Journal:  JAMA       Date:  1996-08-14       Impact factor: 56.272

2.  Creating accountable care organizations: the extended hospital medical staff.

Authors:  Elliott S Fisher; Douglas O Staiger; Julie P W Bynum; Daniel J Gottlieb
Journal:  Health Aff (Millwood)       Date:  2006-12-05       Impact factor: 6.301

3.  Next-day care for emergency department users with nonacute conditions. A randomized, controlled trial.

Authors:  Donna L Washington; Carl D Stevens; Paul G Shekelle; Philip L Henneman; Robert H Brook
Journal:  Ann Intern Med       Date:  2002-11-05       Impact factor: 25.391

4.  Seeking care for nonurgent medical conditions in the emergency department: through the eyes of the patient.

Authors:  J Koziol-McLain; D W Price; B Weiss; A A Quinn; B Honigman
Journal:  J Emerg Nurs       Date:  2000-12       Impact factor: 1.836

5.  The costs of visits to emergency departments.

Authors:  R M Williams
Journal:  N Engl J Med       Date:  1996-03-07       Impact factor: 91.245

6.  Judging who needs emergency department care: a prerequisite for policy-making.

Authors:  R A Lowe; A B Bindman
Journal:  Am J Emerg Med       Date:  1997-03       Impact factor: 2.469

7.  Nonurgent use of hospital emergency departments: urgency from the patient's perspective.

Authors:  J M Gill; A W Riley
Journal:  J Fam Pract       Date:  1996-05       Impact factor: 0.493

8.  Effect of a copayment on use of the emergency department in a health maintenance organization.

Authors:  J V Selby; B H Fireman; B E Swain
Journal:  N Engl J Med       Date:  1996-03-07       Impact factor: 91.245

9.  Comparing costs and quality of care at retail clinics with that of other medical settings for 3 common illnesses.

Authors:  Ateev Mehrotra; Hangsheng Liu; John L Adams; Margaret C Wang; Judith R Lave; N Marcus Thygeson; Leif I Solberg; Elizabeth A McGlynn
Journal:  Ann Intern Med       Date:  2009-09-01       Impact factor: 25.391

10.  Excess cost of emergency department visits for nonurgent care.

Authors:  L C Baker; L S Baker
Journal:  Health Aff (Millwood)       Date:  1994       Impact factor: 6.301

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  90 in total

1.  Assessing the burden of diabetes mellitus in emergency departments in the United States: the National Hospital Ambulatory Medical Care Survey (NHAMCS).

Authors:  Keiko Asao; James Kaminski; Laura N McEwen; Xiejian Wu; Joyce M Lee; William H Herman
Journal:  J Diabetes Complications       Date:  2014-02-15       Impact factor: 2.852

2.  Small Ideas for Saving Big Health Care Dollars.

Authors:  Jodi L Liu; Deborah Lai; Jeanne S Ringel; Mary E Vaiana; Jeffrey Wasserman
Journal:  Rand Health Q       Date:  2014-03-01

3.  Impact of emergency physician-provided patient education about alternative care venues.

Authors:  Pankaj B Patel; David R Vinson; Marla N Gardner; David A Wulf; Patricia Kipnis; Vincent Liu; Gabriel J Escobar
Journal:  Am J Manag Care       Date:  2018-05       Impact factor: 2.229

4.  Medicaid Managed Care in Florida and Racial and Ethnic Disparities in Preventable Emergency Department Visits.

Authors:  Tianyan Hu; Karoline Mortensen; Jie Chen
Journal:  Med Care       Date:  2018-06       Impact factor: 2.983

5.  Emergency Department Use Among Hispanic Adults: The Role of Acculturation.

Authors:  Lindsay Allen; Janet Cummings
Journal:  Med Care       Date:  2016-05       Impact factor: 2.983

6.  Reducing preventable emergency department utilization and costs by using community health workers as patient navigators.

Authors:  Kimberly R Enard; Deborah M Ganelin
Journal:  J Healthc Manag       Date:  2013 Nov-Dec

7.  Influence of provider and urgent care density across different socioeconomic strata on outpatient antibiotic prescribing in the USA.

Authors:  Eili Y Klein; Michael Makowsky; Megan Orlando; Erez Hatna; Nikolay P Braykov; Ramanan Laxminarayan
Journal:  J Antimicrob Chemother       Date:  2015-01-20       Impact factor: 5.790

8.  Emergency Department Use in the US-Mexico Border Region and Violence in Mexico: Is There a Relationship?

Authors:  Kimberley H Geissler; George M Holmes
Journal:  J Rural Health       Date:  2015-02-23       Impact factor: 4.333

9.  Does Spatial Access to Primary Care Affect Emergency Department Utilization for Nonemergent Conditions?

Authors:  Jamie Fishman; Sara McLafferty; William Galanter
Journal:  Health Serv Res       Date:  2016-11-17       Impact factor: 3.402

10.  Recent Trends and the Impact of the Affordable Care Act on Emergency Department Visits and Hospitalizations for Gastrointestinal, Pancreatic, and Liver Diseases.

Authors:  Monique T Barakat; Aditi Mithal; Robert J Huang; Alka Sehgal; Amrita Sehgal; Gurkirpal Singh; Subhas Banerjee
Journal:  J Clin Gastroenterol       Date:  2020-03       Impact factor: 3.062

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