System-level health disparities in California emergency departments: Minorities and medicaid patients are at higher risk of losing their emergency departments

Annals of Emergency Medicine

Volumn 59, Issue 5, 2012, Pages 358-365

  Hsia, Renee Y ^a,d   Srebotnjak, Tanja ^c   Kanzaria, Hemal K ^a,d   McCulloch, Charles ^a   Auerbach, Andrew D ^b  

^a Department of Emergency Medicine San Francisco ^*  (United States)

^b Department of Medicine   (United States)

^c ECOLOGIC INSTITUTE   (Germany)

^d SAN FRANCISCO GENERAL HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AMBULATORY CARE; ARTICLE; CLINICAL EVALUATION; COHORT ANALYSIS; EMERGENCY HEALTH SERVICE; EMERGENCY PATIENT; EMERGENCY WARD; ETHNICITY; GEOGRAPHY; HEALTH CARE ACCESS; HEALTH DISPARITY; HOSPITAL DISCHARGE; HUMAN; MAJOR CLINICAL STUDY; MEDICAID; MINORITY GROUP; PRIORITY JOURNAL; RETROSPECTIVE STUDY; RISK ASSESSMENT; TEACHING HOSPITAL; UNITED STATES;

CALIFORNIA; CONTINENTAL POPULATION GROUPS; EMERGENCY SERVICE, HOSPITAL; HEALTH FACILITY CLOSURE; HEALTHCARE DISPARITIES; HUMANS; INSURANCE, HEALTH; MEDICAID; MINORITY GROUPS; PROPORTIONAL HAZARDS MODELS; RETROSPECTIVE STUDIES; TRAUMA CENTERS; UNITED STATES;

EID: 84860220877     PISSN: 01960644     EISSN: 10976760     Source Type: Journal    
DOI: 10.1016/j.annemergmed.2011.09.018     Document Type: Article

References (61)

1. L.E. Felland, R.E. Hurley, N.M. Kemper Safety Net Hospital Emergency Departments: Creating Safety Valves for Non-urgent Care 2008 Center for Studying Health System Change Washington, DC
2. E.W. Nawar, R.W. Niska, J. Xu National Hospital Ambulatory Medical Care Survey: 2005 emergency department summary Adv Data 386 2007 1 32
3. N. Tang, J. Stein, R.Y. Hsia Trends and characteristics of US emergency department visits, 1997-2007 JAMA 304 2010 664 670
4. American Hospital Association Avalere Health analysis of American Hospital Association Annual Survey data for community hospitals AHA Chartbook Ch 3 Utilization and Volume http://www.aha.org/research/reports/tw/chartbook/ch3. shtml Accessed October 21, 2011. Emergency Department Visits, Emergency Department Visits per 1,000, and Number of Emergency Departments, 1991-2009; 2009
5. R.Y. Hsia, A.L. Kellermann, Y.C. Shen Factors associated with closures of emergency departments in the United States JAMA 305 2011 1978 1985
6. C.D. Dauner Emergency capacity in California: a look at more recent trends Health Aff (Millwood) 2004 Suppl Web Exclusives:W4-152-4
7. W.W. Fields Emergency care in California: robust capacity or busted access? Health Aff (Millwood) 2004 Suppl Web Exclusives:W4-143-5
8. A. Scheck Is there really a crisis in California? EDs close, beds increase, and the problems remain Emerg Med News 10 2003
9. N.M.M. Schute Code blue crisis in the ER - turning away patients Long delays. A surefire recipe for disaster US News & World Report 2001 September 10, 2001
10. A.L. Kellermann Emergency care in California: no emergency? Health Aff (Millwood) 2004 Suppl Web Exclusives:W4-149-51
11. G.A. Melnick, A.C. Nawathe, A. Bamezai Hospital emergency departments: the authors respond Health Aff (Millwood) 2004 Suppl Web Exclusives:W4-155-6
12. B. Siegel The emergency department: rethinking the safety net for the safety net Health Aff (Millwood) 2004 Suppl Web Exclusives:W4-146-8
13. G.A. Melnick, A.C. Nawathe, A. Bamezai Emergency department capacity and access in California, 1990-2001: an economic analysis Health Aff (Millwood) 2004 Suppl Web Exclusives:W4-136-42
14. S. Lambe, D.L. Washington, A. Fink Trends in the use and capacity of California's emergency departments, 1990-1999 Ann Emerg Med 39 2002 389 396
15. S.L.H. McConville Emergency Department Care in California: Who Uses It and Why? 2008 Public Policy Institute of California
16. California Healthcare Foundation Is California's Hospital-Based ED System Eroding? 2009 California Healthcare Foundation, USC Center for Health Financing, Policy, and Management
17. P.S. Lin RG, B. Welsh, K. Yoshino California's dwindling emergency rooms Los Angeles Times http://projects.latimes.com/hospitals/emergency-rooms/ Accessed October 21, 2011
18. Y.C. Shen Do HMO and its for-profit expansion jeopardize the survival of hospital safety net services? Health Econ 18 2009 305 320
19. Y.C. Shen, R.Y. Hsia, K. Kuzma Understanding the risk factors of trauma center closures: do financial pressure and community characteristics matter? Med Care 47 2009 968 978
20. Y.C. Shen, R.Y. Hsia Changes in emergency department access between 2001 and 2005 among general and vulnerable populations Am J Public Health 100 2010 1462 1469
21. H. Rice UTMB criticized for turning away charity cases Houston Chronicle August 25, 2010
22. R.Y. Hsia, S.M. Asch, R.E. Weiss Community and hospital determinants of ED left before being seen rates Acad Emerg Med 17 2010 S95 S96
23. E.J. Weber, J.A. Showstack, K.A. Hunt Does lack of a usual source of care or health insurance increase the likelihood of an emergency department visit? Results of a national population-based study Ann Emerg Med 45 2005 4 12
24. K.T. Xu, B.K. Nelson, S. Berk The changing profile of patients who used emergency department services in the United States: 1996 to 2005 Ann Emerg Med 54 2009 805 810 e1-7
25. J. Zwanziger, N. Khan Safety-net hospitals Med Care Res Rev 65 2008 478 495
26. Emergency Medical Services Authority http://www.emsa.ca.gov/systems/ trauma/default.asp Accessed October 31, 2010
27. J.R. Horwitz Making profits and providing care: comparing nonprofit, for-profit, and government hospitals Health Aff (Millwood) 24 2005 790 801
28. J.R. Horwitz, A. Nichols Hospital ownership and medical services: market mix, spillover effects, and nonprofit objectives J Health Econ 28 2009 924 937
29. T.P. O'Toole, J.L. Gibbon, D. Seltzer Urban homelessness and poverty during economic prosperity and welfare reform: changes in self-reported comorbidities, insurance, and sources for usual care, 1995-1997 J Urban Health 79 2002 200 210
30. J.W. Lucas, D.J. Barr-Anderson, R.S. Kington Health status of non-Hispanic US-born and foreign-born black and white persons: United States, 1992-95 Vital Health Stat 10 226 2005 1 20
31. G.K. Singh, R.A. Hiatt Trends and disparities in socioeconomic and behavioural characteristics, life expectancy, and cause-specific mortality of native-born and foreign-born populations in the United States, 1979-2003 Int J Epidemiol 35 2006 903 919
32. M. Thamer, C. Richard, A.W. Casebeer Health insurance coverage among foreign-born US residents: the impact of race, ethnicity, and length of residence Am J Public Health 87 1997 96 102
33. D. Ravikumar, R. Hsia Do California counties with lower socioeconomic levels have less access to emergency department care? Acad Emerg Med 17 2010 508 513
34. E.A. Graddy, K. Ye When do we "just say no"? policy termination decisions in local hospital services Policy Stud J 36 2008 219 242
35. M.G. Harrison, C.C. Montalvo The financial health of California hospitals: a looming crisis Health Aff (Millwood) 21 2002 118 126
36. R. Ihaka, R. Gentleman R: a language for data analysis and graphics J Comput Graphic Stat 5 1996 299 314
37. J.E. Lee, J.H. Sung, W.B. Ward Utilization of the emergency room: impact of geographic distance Geospat Health 1 2007 243 253
38. A. Ludwick, R. Fu, C. Warden Distances to emergency department and to primary care provider's office affect emergency department use in children Acad Emerg Med 16 2009 411 417
39. R.B.F. Niska, J. Xu National Hospital Ambulatory Medical Care Survey: 2007 emergency department summary Natl Health Stat Rep 26 2010 1 31
40. Agency for Healthcare Research and Quality Addressing Racial and Ethnic Disparities in Health Care Fact Sheet 2000 Agency for Healthcare Research and Quality Rockville, MD http://www.ahrq.gov/research/disparit.htm
41. P.B. Bach, H.H. Pham, D. Schrag Primary care physicians who treat blacks and whites N Engl J Med 351 2004 575 584
42. C.D. Capps, R. Dranove, C. Lindrooth Hospital closure and economic efficiency J Health Econ 29 2010 87 109
43. F. Ciliberto, R.C. Lindrooth Exit from the hospital industry Economic Inquiry 45 2007 71 81
44. K.E. Joynt, E.J. Orav, A.K. Jha Thirty-day readmission rates for Medicare beneficiaries by race and site of care JAMA 305 2011 675 681
45. B. Cakir Race, site of care, and hospital readmission rates JAMA 305 2011 1965 1966 author reply 6
46. US Census Bureau State and county quick facts California http://quickfacts.census.gov/qfd/states/06000.html Accessed July 14, 2011
47. S.L. Lee, A. Yaghoubian, R. Stark Equal access to healthcare does not eliminate disparities in the management of adults with appendicitis J Surg Res 170 2011 209 213
48. US Census Bureau State & county QuickFacts Los Angeles http://quickfacts.census.gov/qfd/states/06/0644000.html Accessed July 14, 2011
49. M. Evans LA County raises property tax rate to help pay for ER, trauma care Press-Telegram August 24, 2010
50. P. McGreevy Legislature OKs bill to assist new South Los Angeles area hospital Los Angeles Times August 25, 2010
51. Committee on the Future of Emergency Care in the United States Health System Hospital-Based Emergency Care: At the Breaking Point 2007 Institute of Medicine, National Academies Press Washington, DC
52. California Healthcare Foundation Overuse of Emergency Departments Among Insured Californians 2006 California Healthcare Foundation Oakland, CA
53. M.H. Katz Future of the safety net under health reform JAMA 304 2010 679 680
54. A.S. O'Malley, A.M. Gerland, H.H. Pham Rising pressure: hospital emergency departments as barometers of the health care system Issue Brief Cent Stud Health Syst Change 101 2005 1 4
55. Institute of Medicine Committee on the Future of Emergency Care in the US Health System IOM report: the future of emergency care in the United States health system Acad Emerg Med 13 2006 1081 1085
56. D.C. Cone, L.D. Richardson, K.H. Todd Health care disparities in emergency medicine Acad Emerg Med 10 2003 1176 1183
57. Institute of Medicine Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care 2003 Institute of Medicine, National Academies Press Washington, DC
58. A. Ludwick, R. Fu, C. Warden Distances to emergency department and to primary care provider's office affect emergency department use in children Acad Emerg Med 16 2009 411 417
59. R.E. Malone, D. Dohan Emergency department closures: policy issues J Emerg Nurs 26 2000 380 383
60. T.C. Buchmueller, M. Jacobson, C. Wold How far to the hospital? the effect of hospital closures on access to care J Health Econ 25 2006 740 761
61. B.C. Sun, S.A. Mohanty, R. Weiss Effects of hospital closures and hospital characteristics on emergency department ambulance diversion, Los Angeles County, 1998 to 2004 Ann Emerg Med 47 2006 309 316