About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

US Hospital Emergency Departments Gaining Importance

by Bidita Debnath on May 22, 2013 at 4:47 PM
Font : A-A+

 US Hospital Emergency Departments Gaining Importance

In the U.S. health care system, hospital emergency departments play a growing role, accounting for a rising proportion of hospital admissions and serving increasingly as an advanced diagnostic center for primary care physicians.

This is according to a new RAND Corporation study. While often targeted as the most expensive place to get medical care, emergency rooms remain an important safety net for Americans who cannot get care elsewhere and may play a role in slowing the growth of health care costs, according to the study.

Advertisement

Emergency departments are now responsible for about half of all hospital admissions in the United States, accounting for nearly all of the growth in hospital admissions experienced between 2003 and 2009.

Despite evidence that people with chronic conditions such as asthma and heart failure are visiting emergency departments more frequently, the number of hospital admissions for these conditions has remained flat. Researchers say that suggests that emergency rooms may help to prevent some avoidable hospital admissions.
Advertisement

"Use of hospital emergency departments is growing faster than the use of other parts of the American medical system," said Dr. Art Kellermann, the study's senior author and a senior researcher at RAND, a nonprofit research organization. "While more can be done to reduce the number of unnecessary visits to emergency rooms, our research suggests emergency rooms can play a key role in limiting growth of preventable hospital admissions."

RAND was asked by the Emergency Medicine Action Fund, a consortium of emergency medicine physician organizations, to develop a more-complete picture of how hospital emergency departments contribute to the U.S. health care system.

Researchers reviewed recent studies published about the use of emergency departments, analyzed federal information about emergency room use and conducted a series of interviews with primary care physicians, hospital-based doctors and emergency department physicians.

The study found that while admissions to U.S. hospitals grew more slowly than the nation's overall population from 2003 and 2009, nearly all of the growth over the period was caused by a 17 percent increase in unscheduled admissions made from emergency departments. That growth more than offset a 10 percent drop in admission from doctors' office and other outpatient settings.

Researchers say the findings suggest that office-based physicians are directing to emergency departments some patients they previously would have admitted to the hospital themselves.

The study also found that emergency departments increasingly support primary care providers by performing complex diagnostic workups that cannot be done in physician offices. In addition, emergency departments supplement primary care providers by handling overflow, after-hours cases and weekend demand for medical care.

These changes mean that emergency physicians now serve as the major decision maker for about half of all hospitals admissions in the United States. Hospital admissions account for most of hospital revenue and inpatient medical care accounts for 31 percent of nationwide health spending, making emergency room physicians a major nexus in influencing health care costs.

Researchers found that most people who seek care in an emergency department do so because they perceive no viable alternative, not because it was convenient. Researchers say the finding suggests that efforts to reduce non-urgent visits to emergency departments should focus on assuring timely access to primary care and less-expensive forms of care, rather than blocking access to emergency departments.

"We believe there needs to be more effort to integrate the operations of emergency departments into both inpatient and outpatient care systems," said Kristy Gonzalez Morganti, the study's lead author and a policy researcher at RAND.

Ways to accomplish this includes greater use of interconnected health information technology, better coordination of care and case management, and more collaborative approaches to medical practice.

Researchers say widespread adoption of these and other practice innovations could generate savings by providing patients with better access to safe non-emergent care, which would minimize duplicative testing and avoid needless hospital admissions.

Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
News Category
What's New on Medindia
Contraceptive Pills in Polycystic Ovary Syndrome (PCOS) Curtail Type 2 Diabetes Risk
Mushroom May Help Cut Down the Odds of Developing Depression
How to Battle Boredom during COVID
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Emergency Alarming Facts about Road Traffic Accidents Road Traffic Accidents and Road Safety Women More Prone to Road Rage 

Recommended Reading
Chinese Porn Addict Rushed to Emergency Room After Putting Live Eel Up His Backside
In a bizarre incident, a Chinese man addicted to porn had to undergo an all-night operation after a ...
Diagnosis, Treatment of Urinary Tract Infection Adds $238 Billion to Emergency Room Costs
A common urinary tract infection that can be easily managed in an outpatient setting is adding to .....
Charges for Emergency Room Visits Often Based on Incorrect Assumptions: Research
Visits to the ER are not always for true medical emergencies....
Price Swings for Outpatient Charges in Emergency Rooms Major Area of Concern
Researchers have conducted a new study that looks into the problem of price swings in patient ......
Road Traffic Accidents and Road Safety
Road accidents are one of the significant causes of disability, injury and death in the world. Every...
Women More Prone to Road Rage
If you find your self getting mad and cursing under your breath while driving, you are a victim of r...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use