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Trends in the utilisation of emergency departments in California, 2005–2015: a retrospective analysis
OBJECTIVE: To examine current trends in the characteristics of patients visiting California emergency departments (EDs) in order to better direct the allocation of acute care resources. DESIGN: A retrospective study. SETTING: We analysed ED utilisation trends between 2005 and 2015 in California usin...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6059325/ https://www.ncbi.nlm.nih.gov/pubmed/30037870 http://dx.doi.org/10.1136/bmjopen-2017-021392 |
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author | Hsia, Renee Y Sabbagh, Sarah H Guo, Joanna Nuckton, Thomas J Niedzwiecki, Matthew J |
author_facet | Hsia, Renee Y Sabbagh, Sarah H Guo, Joanna Nuckton, Thomas J Niedzwiecki, Matthew J |
author_sort | Hsia, Renee Y |
collection | PubMed |
description | OBJECTIVE: To examine current trends in the characteristics of patients visiting California emergency departments (EDs) in order to better direct the allocation of acute care resources. DESIGN: A retrospective study. SETTING: We analysed ED utilisation trends between 2005 and 2015 in California using non-public patient data from California’s Office of Statewide Health Planning and Development. PARTICIPANTS: We included all ED visits in California from 2005 to 2015. PRIMARY AND SECONDARY OUTCOME MEASURES: We analysed ED visits and visit rates by age, sex, race/ethnicity, payer and urban/rural trends. We further examined age, sex, race/ethnicity and urban/rural trends within each payer group for a more granular picture of the patient population. Additionally, we looked at the proportion of patients admitted from the ED and distribution of diagnoses. RESULTS: Between 2005 and 2015, the annual number of ED visits increased from 10.2 to 14.2 million in California. ED visit rates increased by 27.8% (p<0.001), with the greatest increases among patients aged 5–19 (37.4%, p<0.001) and 45–64 years (41.1%, p<0.001), non-Hispanic Black and Hispanic patients (56.8% and 48.8%, p<0.001), the uninsured and Medicaid-insured (36.1%, p=0.002; 28.6%, p<0.001) and urban residents (28.3%, p<0.001). The proportion of ED visits resulting in hospitalisation decreased by 18.3%, with decreases across all payer groups. CONCLUSIONS: Our findings reveal an increasing demand for emergency care and may reflect current limitations in accessing care in other parts of the healthcare system. Policymakers may need to recognise the increasingly vital role that EDs are playing in the provision of care and consider ways to incorporate this changing reality into the delivery of health services. |
format | Online Article Text |
id | pubmed-6059325 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-60593252018-07-27 Trends in the utilisation of emergency departments in California, 2005–2015: a retrospective analysis Hsia, Renee Y Sabbagh, Sarah H Guo, Joanna Nuckton, Thomas J Niedzwiecki, Matthew J BMJ Open Emergency Medicine OBJECTIVE: To examine current trends in the characteristics of patients visiting California emergency departments (EDs) in order to better direct the allocation of acute care resources. DESIGN: A retrospective study. SETTING: We analysed ED utilisation trends between 2005 and 2015 in California using non-public patient data from California’s Office of Statewide Health Planning and Development. PARTICIPANTS: We included all ED visits in California from 2005 to 2015. PRIMARY AND SECONDARY OUTCOME MEASURES: We analysed ED visits and visit rates by age, sex, race/ethnicity, payer and urban/rural trends. We further examined age, sex, race/ethnicity and urban/rural trends within each payer group for a more granular picture of the patient population. Additionally, we looked at the proportion of patients admitted from the ED and distribution of diagnoses. RESULTS: Between 2005 and 2015, the annual number of ED visits increased from 10.2 to 14.2 million in California. ED visit rates increased by 27.8% (p<0.001), with the greatest increases among patients aged 5–19 (37.4%, p<0.001) and 45–64 years (41.1%, p<0.001), non-Hispanic Black and Hispanic patients (56.8% and 48.8%, p<0.001), the uninsured and Medicaid-insured (36.1%, p=0.002; 28.6%, p<0.001) and urban residents (28.3%, p<0.001). The proportion of ED visits resulting in hospitalisation decreased by 18.3%, with decreases across all payer groups. CONCLUSIONS: Our findings reveal an increasing demand for emergency care and may reflect current limitations in accessing care in other parts of the healthcare system. Policymakers may need to recognise the increasingly vital role that EDs are playing in the provision of care and consider ways to incorporate this changing reality into the delivery of health services. BMJ Publishing Group 2018-07-23 /pmc/articles/PMC6059325/ /pubmed/30037870 http://dx.doi.org/10.1136/bmjopen-2017-021392 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Emergency Medicine Hsia, Renee Y Sabbagh, Sarah H Guo, Joanna Nuckton, Thomas J Niedzwiecki, Matthew J Trends in the utilisation of emergency departments in California, 2005–2015: a retrospective analysis |
title | Trends in the utilisation of emergency departments in California, 2005–2015: a retrospective analysis |
title_full | Trends in the utilisation of emergency departments in California, 2005–2015: a retrospective analysis |
title_fullStr | Trends in the utilisation of emergency departments in California, 2005–2015: a retrospective analysis |
title_full_unstemmed | Trends in the utilisation of emergency departments in California, 2005–2015: a retrospective analysis |
title_short | Trends in the utilisation of emergency departments in California, 2005–2015: a retrospective analysis |
title_sort | trends in the utilisation of emergency departments in california, 2005–2015: a retrospective analysis |
topic | Emergency Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6059325/ https://www.ncbi.nlm.nih.gov/pubmed/30037870 http://dx.doi.org/10.1136/bmjopen-2017-021392 |
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