Are There Disparities in Emergency Care for Uninsured, Medicaid, and Privately Insured Patients?

Academic Emergency Medicine

Volumn 10, Issue 11, 2003, Pages 1271-1277

  Irvin, Charlene Babcock ^a,b,c   Fox, James M ^a,b   Smude, Bradley ^a  

^a ST JOHN HOSPITAL AND MEDICAL CENTER   (United States)

^b WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c NONE   (United States)

Author keywords

Emergency department acuity; Insured patients; Medicaid; Uninsured

Indexed keywords

ADULT; ARTICLE; CHI SQUARE DISTRIBUTION; CLINICAL PROTOCOL; CONTROLLED STUDY; EMERGENCY TREATMENT; EMERGENCY WARD; HEALTH CARE UTILIZATION; HEALTH INSURANCE; HOSPITAL BILLING; HUMAN; MAJOR CLINICAL STUDY; MEDICAID; NATIONAL HEALTH INSURANCE; OUTCOMES RESEARCH; PATIENT CARE; PATIENT CODING; PRIORITY JOURNAL; REIMBURSEMENT; RETROSPECTIVE STUDY; STATISTICAL ANALYSIS;

EID: 0242497193     PISSN: 10696563     EISSN: None     Source Type: Journal    
DOI: 10.1197/S1069-6563(03)00498-6     Document Type: Article

References (24)

1. Rubin MA, Binnin MJ. Utilization of the emergency department by patients with minor complaints. J Emerg Med. 1995; 13:839-42.
2. Phelps K, Taylor C, Kimmel S, Nagel R, Klein W, Puczynski S. Factors associated with emergency department utilization for non-urgent pediatric problems. Arch Fam Med. 2000; 9:1086-92.
3. Gill JM. Non-urgent use of the emergency department: appropriate or not? Ann Emerg Med. 1994; 24:953-7.
4. Sarver JH, Cydulka RK, Baker DW. Usual source of care and non-urgent emergency department use. Acad Emerg Med. 2002; 9:916-23.
5. Cunningham PJ, Clancy CM, Cohen JW, Wilets M. The use of hospital emergency departments for non-urgent health problems: a national perspective. Med Care Res Rev. 1995; 52:453-74.
6. Liu T, Sayre MR, Carleton SC. Emergency medical care: types, trends, and factors related to non-urgent visits. Acad Emerg Med. 1999; 6:1147-52.
7. Mitchell TA. Non-urgent emergency department visits - whose definition? Ann Emerg Med. 1994; 24:961-3.
8. Fong C. The influence of insurance status on non-urgent pediatric visits to the emergency department. Acad Emerg Med. 1999; 6:744-8.
9. Richardson LD, Hwang U. Access to care: a review of the emergency medicine literature. Acad Emerg Med. 2001; 8:1030-6.
10. Baker LC, Baker LS. Excess cost of emergency department visits for non-urgent care. Health Aff (Millwood). 1994; 13:162-71.
11. DeAngelis C, Fosarelli P, Duggan AK. Use of the emergency department by children enrolled in a primary care clinic. Pediatr Emerg Care. 1985; 1(2):61-5.
12. Weissman JS, Stern R, Fielding SL, Epstein AM. Delayed access to health care: risk factors, reasons, and consequences. Ann Intern Med. 1991; 114:325-31.
13. Baker DW, Shapiro MF, Schur CL. Health insurance and access to care for symptomatic conditions. Arch Intern Med. 2000; 160:1269-74.
14. Kellermann AL. Coverage matters: insurance and health care. Ann Emerg Med. 2002; 40:644-7.
15. Weissman JS, Gatsonis C, Epstein AM. Rates of avoidable hospitalization by insurance status in Massachusetts and Maryland. JAMA. 1992; 268:2388-94.
16. Peterson LA, Burstin HR, O'Neil AC, Orav EJ, Brennan TA. Non-urgent emergency department visits: the effect of having a regular doctor. Med Care. 1998; 36:1249-55.
17. Clinical Procedural Terminology 2002. Chicago: American Medical Association, 2001; pp 18-21, 413-4.
18. Emergency departments - an essential access point to care. Am Hosp Assoc Trend Watch. 2001; 3:1-8.
19. Piehl MD, Clemens CJ, Joines JD. "Narrowing the gap": decreasing emergency department use by children enrolled in the Medicaid program by improving access to primary care. Arch Pediatr Adolesc Med. 2000; 154:791-5.
20. Jackson P. The impact of health insurance status on emergency room services. J Health Soc Policy. 2001; 14(1):61-74.
21. Sox CM, Burstin HR, Edwards RA, O'Neil AC, Brennan TA. Hospital admissions through the emergency department: does insurance status matter? Am J Med. 1998; 105:506-12.
22. Advance Data from Vital and Health Statistics. April 22, 2002; 326:3,4.
23. O'Brien GM, Shapiro MJ, Woolard RW, O'Sullivan PS, Stein MD. "Inappropriate" emergency department use: a comparison of three methodologies for identification. Acad Emerg Med. 1996; 3:252-7.
24. Grossman LK, Rich LN, Johnson C. Decreasing non-urgent emergency department utilization by Medicaid children. Pediatrics. 1998; 102(1pt1):20-4.