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Patients Who Use Multiple EDs: Quantifying the Degree of Overlap between ED Populations
INTRODUCTION: The degree to which individual patients use multiple emergency departments (EDs) is not well-characterized. We determined the degree of overlap in ED population between three geographically proximate hospitals. METHODS: This retrospective cohort study reviewed administrative hospital r...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Department of Emergency Medicine, University of California, Irvine School of Medicine
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4380370/ https://www.ncbi.nlm.nih.gov/pubmed/25834661 http://dx.doi.org/10.5811/westjem.2015.1.22838 |
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author | Fertel, Baruch S. Hart, Kimberly W. Lindsell, Christopher J. Ryan, Richard J. Lyons, Michael S. |
author_facet | Fertel, Baruch S. Hart, Kimberly W. Lindsell, Christopher J. Ryan, Richard J. Lyons, Michael S. |
author_sort | Fertel, Baruch S. |
collection | PubMed |
description | INTRODUCTION: The degree to which individual patients use multiple emergency departments (EDs) is not well-characterized. We determined the degree of overlap in ED population between three geographically proximate hospitals. METHODS: This retrospective cohort study reviewed administrative hospital records from 2003 to 2007 for patients registered to receive ED services at an urban academic, urban community, and suburban community ED located within 10 miles of one another. We determined the proportion who sought care at multiple EDs and secondarily characterized patterns of repeat encounters. RESULTS: There were 795,176 encounters involving 282,903 patients. There were 89,776 (31%) patients with multiple encounters to a single ED and 39,920 (14%) patients who sought care from multiple EDs. The 39,920 patients who sought care from multiple EDs generated 185,629 (23%) of all encounters. Patients with repeat encounters involving multiple EDs were more likely to be frequent or highly frequent users (30%) than patients with multiple encounters to a single ED (14%). CONCLUSION: While only 14% of patients received care from more than one ED, they were responsible for a quarter of ED encounters. Patients who use multiple EDs are more often frequent or highly frequent users than are repeat ED visitors to the same ED. Overlap between ED populations is sufficient to warrant consideration by multiple domains of research, practice, and policy. |
format | Online Article Text |
id | pubmed-4380370 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Department of Emergency Medicine, University of California, Irvine School of Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-43803702015-04-01 Patients Who Use Multiple EDs: Quantifying the Degree of Overlap between ED Populations Fertel, Baruch S. Hart, Kimberly W. Lindsell, Christopher J. Ryan, Richard J. Lyons, Michael S. West J Emerg Med Healthycare Utilization INTRODUCTION: The degree to which individual patients use multiple emergency departments (EDs) is not well-characterized. We determined the degree of overlap in ED population between three geographically proximate hospitals. METHODS: This retrospective cohort study reviewed administrative hospital records from 2003 to 2007 for patients registered to receive ED services at an urban academic, urban community, and suburban community ED located within 10 miles of one another. We determined the proportion who sought care at multiple EDs and secondarily characterized patterns of repeat encounters. RESULTS: There were 795,176 encounters involving 282,903 patients. There were 89,776 (31%) patients with multiple encounters to a single ED and 39,920 (14%) patients who sought care from multiple EDs. The 39,920 patients who sought care from multiple EDs generated 185,629 (23%) of all encounters. Patients with repeat encounters involving multiple EDs were more likely to be frequent or highly frequent users (30%) than patients with multiple encounters to a single ED (14%). CONCLUSION: While only 14% of patients received care from more than one ED, they were responsible for a quarter of ED encounters. Patients who use multiple EDs are more often frequent or highly frequent users than are repeat ED visitors to the same ED. Overlap between ED populations is sufficient to warrant consideration by multiple domains of research, practice, and policy. Department of Emergency Medicine, University of California, Irvine School of Medicine 2015-03 2015-03-17 /pmc/articles/PMC4380370/ /pubmed/25834661 http://dx.doi.org/10.5811/westjem.2015.1.22838 Text en Copyright © 2015 the authors. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Healthycare Utilization Fertel, Baruch S. Hart, Kimberly W. Lindsell, Christopher J. Ryan, Richard J. Lyons, Michael S. Patients Who Use Multiple EDs: Quantifying the Degree of Overlap between ED Populations |
title | Patients Who Use Multiple EDs: Quantifying the Degree of Overlap between ED Populations |
title_full | Patients Who Use Multiple EDs: Quantifying the Degree of Overlap between ED Populations |
title_fullStr | Patients Who Use Multiple EDs: Quantifying the Degree of Overlap between ED Populations |
title_full_unstemmed | Patients Who Use Multiple EDs: Quantifying the Degree of Overlap between ED Populations |
title_short | Patients Who Use Multiple EDs: Quantifying the Degree of Overlap between ED Populations |
title_sort | patients who use multiple eds: quantifying the degree of overlap between ed populations |
topic | Healthycare Utilization |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4380370/ https://www.ncbi.nlm.nih.gov/pubmed/25834661 http://dx.doi.org/10.5811/westjem.2015.1.22838 |
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