1 40 1 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