1
40
2
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.jemermed.2016.05.058" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jemermed.2016.05.058</a>
Pages
466–470
Issue
4
Volume
51
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Patient Insurance Profiles: A Tertiary Care Compared to Three Freestanding Emergency Departments.
Publisher
An entity responsible for making the resource available
The Journal of emergency medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
2016-10
Subject
The topic of the resource
Emergency Service; Emergency Service – Statistics and Numerical Data; freestanding emergency department; Health – Statistics and Numerical Data; Health – Trends; Health/*statistics & numerical data/trends; Hospital/*statistics & numerical data; Hospitals; Human; Humans; insurance; Insurance; Medicaid – Statistics and Numerical Data; Medicaid/statistics & numerical data; Medically Uninsured – Statistics and Numerical Data; Medically Uninsured/statistics & numerical data; Medicare – Statistics and Numerical Data; Medicare/statistics & numerical data; Retrospective Design; Retrospective Studies; Special – Statistics and Numerical Data; Tertiary Care Centers/statistics & numerical data; United States; Urban – Statistics and Numerical Data; Urban/*statistics & numerical data
Creator
An entity primarily responsible for making the resource
Simon Erin L; Griffin Gregory; Orlik Kseniya; Jia Zhenyu; Hayslip Dave; Kobe Daniel; Jouriles Nicholas
Description
An account of the resource
BACKGROUND: It has been speculated that freestanding emergency departments (FEDs) draw more affluent, better-insured patients away from urban hospital EDs. It is believed that this leaves urban hospital-based EDs less financially secure. OBJECTIVE: We examined whether the distribution of patients with four types of insurance (self-pay, Medicaid, Medicare, and private) at the main ED changed after opening three affiliated FEDs, and whether the insurance type distribution was different between main ED and FEDs and between individual FEDs. METHODS: A retrospective analysis of insurance status of all patients presenting to our EDs from July 2006 through August 2013. Insurance was divided into self-pay, Medicare, Medicaid, and private insurance across three time periods, which reflect the sequential opening of each FED. Insurance types for each facility were compared for individual time periods and across time periods. chi(2) was used to analyze the data. RESULTS: In the three studied time frames (periods B, C, and D), there were less privately insured patients and more self-pay, Medicaid, and Medicare patients at the main than at each FED (p \textless 0.001). Insurance types were significantly different between each of the three FEDs and the main ED (p \textless 0.001) and between each of the three FEDs (p \textless 0.001). CONCLUSIONS: There were less privately insured patients and more self-pay, Medicaid, and Medicare patients at the main ED compared to the FEDs. Privately insured patients decreased at both the FEDs and main ED during the study. Insurance distribution was significantly different between the main ED, and three FEDs, and between individual FEDs.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jemermed.2016.05.058" target="_blank" rel="noreferrer noopener">10.1016/j.jemermed.2016.05.058</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2016
Department of Emergency Medicine
Emergency Service
Emergency Service – Statistics and Numerical Data
Freestanding emergency department
Griffin Gregory
Hayslip Dave
Health – Statistics and Numerical Data
Health – Trends
Health/*statistics & numerical data/trends
Hospital/*statistics & numerical data
Hospitals
Human
Humans
Insurance
Jia Zhenyu
Jouriles Nicholas
Kobe Daniel
Medicaid – Statistics and Numerical Data
Medicaid/statistics & numerical data
Medically Uninsured – Statistics and Numerical Data
Medically Uninsured/statistics & numerical data
Medicare – Statistics and Numerical Data
Medicare/statistics & numerical data
NEOMED College of Medicine
Orlik Kseniya
Retrospective Design
Retrospective Studies
Simon Erin L
Special – Statistics and Numerical Data
Tertiary Care Centers/statistics & numerical data
The Journal of emergency medicine
United States
Urban – Statistics and Numerical Data
Urban/*statistics & numerical data
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.jemermed.2014.09.005" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jemermed.2014.09.005</a>
Pages
152–157
Issue
2
Volume
48
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Freestanding emergency departments and the trauma patient.
Publisher
An entity responsible for making the resource available
The Journal of emergency medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
2015-02
Subject
The topic of the resource
*Wounds and Injuries/diagnostic imaging/etiology/mortality; Adult; Aged; Ambulatory Care Facilities/*statistics & numerical data; Emergency Service; Female; freestanding emergency departments; Hospital/*statistics & numerical data; Humans; Length of Stay; Male; Middle Aged; Radiography; Retrospective Studies; tertiary care; trauma; Trauma Centers/*statistics & numerical data
Creator
An entity primarily responsible for making the resource
Simon Erin L; Medepalli Kantha; Williams Carolyn J; Yocum Andrew; Abrams Eric; Griffin Gregory; Orlik Kseniya
Description
An account of the resource
BACKGROUND: Freestanding emergency departments (FEDs) continue to grow in number and more research is needed on these facilities. OBJECTIVE: We sought to characterize the types of injuries and patients who initially presented to two FEDs and were transferred to the main tertiary care ED for trauma team consult and admission. METHODS: This retrospective cohort descriptive study examined medical records of adult trauma patients who were initially seen at an FED and then transferred to the main ED. All patients who received a trauma consultation were included. Data collection included demographics, initial mode of transport to the ED, injury, mechanism of injury, ED, hospital course and outcome. RESULTS: Mean age was 61.8 +/- 23.8, 96.7% were Caucasian and 52.5% were male. Mode of transport to the FEDs included private vehicle (46.4%) and emergency medical services (53.6%). The main injury mechanisms were fall from standing (51.9%) and fall from an object (16%). A total of 12.7% were from motor vehicle accidents and 6.6% presented from bicycle and all-terrain vehicle accidents. Blunt traumatic injuries accounted for 97.8% (n = 177) patients. Computed tomography scanning was performed on 90.1% of patients. Median ED length of stay was 189 min. Mean hospital length of stay was 3 days and 2.2% (n = 4) of patients died from their injuries. CONCLUSIONS: Understanding the patients and traumatic injuries that present to FEDs will guide training and identify resources needed for patients requiring additional care at a trauma center.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jemermed.2014.09.005" target="_blank" rel="noreferrer noopener">10.1016/j.jemermed.2014.09.005</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Wounds and Injuries/diagnostic imaging/etiology/mortality
2015
Abrams Eric
Adult
Aged
Ambulatory Care Facilities/*statistics & numerical data
Department of Emergency Medicine
Emergency Service
Female
freestanding emergency departments
Griffin Gregory
Hospital/*statistics & numerical data
Humans
Length of Stay
Male
Medepalli Kantha
Middle Aged
NEOMED College of Medicine
Orlik Kseniya
Radiography
Retrospective Studies
Simon Erin L
tertiary care
The Journal of emergency medicine
trauma
Trauma Centers/*statistics & numerical data
Williams Carolyn J
Yocum Andrew