| Autore |
Morganti Kristy Gonzalez
|
| Pubbl/distr/stampa |
Santa Monica, CA, : Rand Corporation, 2013
|
| Descrizione fisica |
1 online resource (xi, 63, 43 pages) : illustrations (some color)
|
| Disciplina |
362.18
|
| Collana |
Research report
Gale eBooks
|
| Soggetto topico |
Emergency Service, Hospital - trends - United States
Emergency Service, Hospital - economics - United States
Hospitals - Emergency services - United States
Emergency medicine - United States
|
| ISBN |
0-8330-8080-6
0-8330-8082-2
|
| Formato |
Materiale a stampa  |
| Livello bibliografico |
Monografia |
| Lingua di pubblicazione |
eng
|
| Nota di contenuto |
Cover; Title Page; Copyright; Preface; Table of Contents; Figures; Tables; Executive Summary; Acknowledgements; Abbreviations; 1. Introduction; Trends Affecting the Evolution of Hospital EDs; Overall Growth in Health Care Spending; Growing Use of Hospital EDs; The Rising Cost of ED Care; Efforts to Discourage Non-Urgent Use of EDs; EDs as Entry Points to Inpatient Care; Aims of the RAND Study; Organization of This Report; 2. Conceptual Model of ED Use; 3. Methods; Quantitative Data Sources; Analytical Approach; Qualitative Data Sources; Emergency Physician Focus Groups
Hospital Physician Focus Group Individual Interviews with Primary Care Providers; Review of Qualitative Data; 4. Findings; What are the most important sources of inpatient admissions and how have they changed?; What are the sources driving growth of non-elective inpatient admissions?; Why are primary care physicians admitting fewer patients to hospitals?; Why are patients using EDs for non-urgent care?; Does a patient's insurance coverage influence likelihood of admission and his/her portal of entry to inpatient care?
Does a patient's source of primary health insurance influence his/her probability of hospitalization from the ED?Does a patient's type of insurance influence a primary care physician's decision to send the patient to the ED?; Do plans that offer care coordination have lower rates of inpatient admission from EDs than fee-for-service plans?; Are EDs playing a role in reducing preventable hospital admissions?; 5. Discussion; Assessing the Value of Emergency Department Care; The Evolving Relationship Between EDs and Primary Care Providers; Emergency Departments as Diagnostic Centers
Do Emergency Departments Prevent Costly Inpatient Admissions?Study Limitations; 6. Conclusions; Implications for Policy; References; Appendix A. Additional Quantitative Results; Appendix B. Focus Groups and Interviews
|
| Record Nr. | UNINA-9910220152003321 |