Strategies to reduce nonurgent emergency department use: Experience of a Northern Virginia employer group

Medical Care

Volumn 51, Issue 3, 2013, Pages 224-230

  Devries, Andrea ^a   Li, Chia Hsuan ^a   Oza, Manish ^b  

^a HEALTHCORE INC   (United States)

^b Wellpoint Inc   (United States)

Author keywords

ED utilization; nonurgent ED use; retail health clinics

Indexed keywords

ARTICLE; EMERGENCY CARE; EMERGENCY WARD; EMPLOYER; HEALTH CARE FACILITY; HEALTH CARE PLANNING; HEALTH CARE UTILIZATION; HEALTH CENTER; HUMAN; PRIORITY JOURNAL; UNITED STATES;

ADULT; CROSS-SECTIONAL STUDIES; DEDUCTIBLES AND COINSURANCE; EMERGENCY SERVICE, HOSPITAL; FEMALE; HEALTH EDUCATION; HEALTH SERVICES MISUSE; HUMANS; MALE; MIDDLE AGED; PRIMARY HEALTH CARE; PROPENSITY SCORE; VIRGINIA;

EID: 84874105456     PISSN: 00257079     EISSN: 15371948     Source Type: Journal    
DOI: 10.1097/MLR.0b013e3182726b83     Document Type: Article

References (26)

1. Tang N, Stein J, Hsia RY, et al. Trends and characteristics of US emergency department visits, 1997-2007. JAMA. 2010;304: 664-670.
2. Robinson GC, Kinnis C, Anderson DO, et al. Use of a hospital emergency service by children and adolescents for primary care. Can Med Assoc J. 1969;101:69-73.
3. Afilalo J, Marinovich A, Afilalo M, et al. Nonurgent emergency department patient characteristics and barriers to primary care. Acad Emerg Med. 2004;11:1302-1310.
4. Burnett MG, Grover SA. Use of the emergency department for nonurgent care during regular business hours. Can Med Assoc J. 1996;154:1345-1351.
5. Lang T, Davido A, Diakité B, et al. Non-urgent care in the hospital medical emergency department in France: how much and which health needs does it reflect?". J Epidemiol Community Health. 1996;50:456-462.
6. Carret MLV, Fassa AG, Kawachi I. Demand for emergency health service: factors associated with inappropriate use. BMC Health Serv Res. 2007;7:131-139.
7. Herrick D. Retail clinics: convenient and affordable care. Updated January 14, 2010. Available at: http://www.ncpa.org/pub/ba686. Accessed December 20, 2011.
8. Lega F, Mangoni A. Why non-urgent patients choose emergency over primary care services? Empirical evidence and managerial implications. Health Policy. 2008;88:326-338.
9. Ragin DF, Hwang U, Cydulka RK, et al. Reasons for using emergency department: results of the EMPATH study. Acad Emerg Med. 2005;12:1158-1166.
10. Hsu J, Price M, Brand R, et al. Cost-sharing for emergency care and unfavorable clinical events: findings from the safety and financial ramifications of ED copayments study. Health Serv Res. 2006;41: 1801-1820.
11. Ahmed A, Fincham JE. Physician office vs. retail clinic: patient preferences in care seeking for minor illnesses. Ann Fam Med. 2010; 8:117-123.
12. Selby JV, Fireman BH, Swain BE. Effect of a copayment on use of the emergency department in a health maintenance organization. N Engl J Med. 1996;334:635-641.
13. Wharam JF, Landon BE, Galbraith AA, et al. Emergency department use and subsequent hospitalizations among members of a highdeductible health plan. JAMA. 2007;297:1093-1102.
14. Reed M, Fung V, Brand R, et al. Care-seeking behavior in response to emergency department copayments. Med Care. 2005;43:810-816.
15. Wang MC, Ryan G, McGlynn EA, et al. Why do patients seek care at retail clinics, and what alternatives did they consider? Am J Med Qual. 2010;25:128-134.
16. Rudavsky R, Pollack C, Mehrotra A. The geographic distribution, ownership, prices, and scope of practice at retail clinics. Ann Intern Med. 2009;151:315-320.
17. Mehrotra A, Wang MC, Lave JR, et al. Retail clinics, primary care physicians, and emergency departments: a comparison of patients' visits. Health Aff. 2008;27:1272-1282.
18. Mehrota A, Liu H, Adams J, et al. The costs and quality of care for three common illnesses at retail clinics as compared to other medical settings. Ann Intern Med. 2009;151:321-328.
19. Agwunobi J, London PA. Removing costs from the health care supply chain: lessons from mass retail. Health Aff (Millwood). 2009;28:1336-1342.
20. Weinick RM, Burns RM, Mehrota A. Many emergency department visits could be managed at urgent care centers and retail clinics. Health Aff. 2010;29:1630-1636.
21. Billings J, Parikh N, Mijanovich T. Emergency room use: the New York Story. Issue Briefs. The Commonwealth Fund. November 2000. Available at:http://www.commonwealthfund.org/Publications/Issue-Briefs/2000/Nov/ Emergency-Room-Use-The-New-York-Story.aspx#citation. Accessed May 3, 2012.
22. Hirano K, Imbens GW. Estimation of causal effects using propensity score weighting: an application to data on right heart catheterization. Health Serv Outcomes Res Methodol. 2001;2:259-278.
23. Parsons LS. Reducing bias in a propensity score matched-pair sample using greedy matching tehniques. Available at: http://www2.sas.com/proceedings/ sugi25/25/po/25p225.pdf. Proceedings of the Twenty-Sixth Annual SAS Users Group International Conference. Cary, NC: SAS Institute Inc. Accessed April 18, 2012.
24. Parsons LS. Using SAS software to perform a case-control match on propensity score in an observational study. 2001. Available at: http://www2.sas.com/proceedings/sugi26/p214-26.pdf. Proceedings of the Thirtieth Annual SAS Users Group International Conference. Cary, NC: SAS Institute, Inc; 2005. Accessed April 18, 2012.
25. Parsons LS. Performing a 1: N case-control match on propensity score. Available at: http://www2.sas.com/proceedings/sugi25/25/po/25p225.pdf. Proceedings of the Twenty-Ninth Annual SAS Users Group International Conference. Cary, NC: SAS Institute Inc.; 2004. Accessed April 18, 2012.
26. Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol. 1992;45:613-619.