Insight Into Health Care Services: A Characterization of Emergency Room Visits and Economic Hazards in the United States.

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  • Additional Information
    • Source:
      Publisher: Cambridge University Press Country of Publication: United States NLM ID: 101297401 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1938-744X (Electronic) Linking ISSN: 19357893 NLM ISO Abbreviation: Disaster Med Public Health Prep Subsets: MEDLINE
    • Publication Information:
      Publication: <2013>- : New York : Cambridge University Press
      Original Publication: Philadelphia, PA : Lippincott Williams & Wilkins
    • Subject Terms:
      Economics/*trends ; Emergency Service, Hospital/*economics ; Hospitalization/*economics ; Quality of Health Care/*standards; Cross-Sectional Studies ; Emergency Service, Hospital/organization & administration ; Emergency Service, Hospital/statistics & numerical data ; Geographic Mapping ; Hospitalization/statistics & numerical data ; Humans ; Poisson Distribution ; Quality of Health Care/economics ; Quality of Health Care/statistics & numerical data ; United States
    • Abstract:
      Objective: This study explores the impact of economic hazard areas on hospital-based emergency departments to determine whether economically hazardous environments, characterized by the change of population, income per capita, and unemployment rate, experience a higher number of emergency room visits than areas of lower rated economic hazard risk in the United States.
      Method: A cross-sectional design was used of a nationally constructed data set of hospital-based emergency departments of over 6,000 hospitals in the United States. We identified our quality outcome measure as the emergency room visits rate within a hospital service area. We created the variable by dividing the number of emergency room visits by the population of the hospital services area in which the emergency room was located.
      Results: Results indicate that there is a difference in the incident rate ratio of emergency room visits between environments considered to be experiencing greater amounts of hazard, compared to lower amounts of hazard.
      Conclusion: Hospital administrators and health policy-makers need to work in conjunction to focus efforts on public safety as a key objective in the delivery of emergency medical care. One crucial effort that hospital administrators need to focus on is improving emergency room capacity and efficiency as part of the disaster preparedness plan (Disaster Med Public Health Prep. 2019;13:470-475).
    • Contributed Indexing:
      Keywords: Poisson regression; economic hazard; emergency department; emergency room visits; hospital capacity
    • Publication Date:
      Date Created: 20180809 Date Completed: 20200330 Latest Revision: 20200330
    • Publication Date:
      20221213
    • Accession Number:
      10.1017/dmp.2018.75
    • Accession Number:
      30086808