Dispelling myths about emergency department use: majority of Medicaid visits are for urgent or more serious symptoms.

Research brief Pub Date : 2012-07-01
Anna S Sommers, Ellyn R Boukus, Emily Carrier
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Abstract

Contrary to conventional wisdom that Medicaid patients often use hospital emergency departments (EDs) for routine care, the majority of ED visits by nonelderly Medicaid patients are for symptoms suggesting urgent or more serious medical problems, according to a new national study by the Center for Studying Health System Change (HSC). About 10 percent of nonelderly Medicaid patient ED visits are for nonurgent symptoms, compared with about 7 percent for privately insured nonelderly people. Nonetheless, there are clearly opportunities to develop less-costly care options than emergency departments for both nonelderly Medicaid and privately insured patients. To reduce ED use, policy makers might consider how to encourage development of care settings that can quickly handle a high volume of potentially urgent medical problems. Policy makers may want to focus initially on conditions that account for high ED volume that could likely be treated in less resource-intensive settings. For example, diagnoses of acute respiratory and other common infections in children and injuries together account for about 53 percent of ED visits by children aged 0 to 12 covered by Medicaid and almost 60 percent of ED visits by privately insured children aged 0 to 12. While some infections and injuries will be too serious to treat elsewhere, lower-cost settings that can provide a moderate intensity of care and urgent response time likely could reduce emergency department use.

消除关于急诊室使用的神话:大多数医疗补助就诊是为了紧急或更严重的症状。
与传统观念相反,医疗补助患者通常使用医院急诊科(EDs)进行常规护理,根据研究卫生系统变化中心(HSC)的一项新的国家研究,大多数非老年医疗补助患者的急诊科就诊是由于出现紧急或更严重的医疗问题的症状。在接受医疗补助的非老年患者中,约有10%的患者就诊于非紧急症状,而在私人保险的非老年患者中,这一比例约为7%。尽管如此,对于非老年医疗补助和私人保险患者,显然有机会开发比急诊科成本更低的护理选择。为了减少急诊科的使用,政策制定者可能会考虑如何鼓励能够快速处理大量潜在紧急医疗问题的护理环境的发展。政策制定者可能希望首先关注那些可能在资源密集度较低的环境中治疗的高ED量的情况。例如,儿童急性呼吸道感染和其他常见感染和伤害的诊断占医疗补助覆盖的0至12岁儿童急诊科就诊的53%,占0至12岁私人保险儿童急诊科就诊的近60%。虽然有些感染和伤害过于严重,无法在其他地方治疗,但可以提供中等护理强度和紧急反应时间的低成本环境可能会减少急诊室的使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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