Article
Emergency Medicine
Arjun K. Venkatesh, Margaret B. Greenwood-Ericksen, Hao Mei, Craig Rothenberg, Zhenqiu Lin, Harlan M. Krumholz
Summary: The study found that rural areas have higher rates of Emergency Department (ED) use compared to urban areas, and the EDs in rural areas are disproportionately providing unscheduled care. As urbanicity increases, ED visit rates and unscheduled care proportions decrease.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Health Care Sciences & Services
Michael J. Ward, John L. Shuster, Nicholas M. Mohr, Peter J. Kaboli, Amanda S. Mixon, Jennifer Kemmer, Corey Campbell, Candace D. McNaughton
Summary: The mixed-methods evaluation of the emergency telehealth intervention in unscheduled settings within the Veterans Health Administration found that it was feasible, did not impact the safety and efficacy of mental health consultations, and was highly acceptable and sustainable.
TELEMEDICINE AND E-HEALTH
(2022)
Article
Public, Environmental & Occupational Health
Susanna Gentili, Leonardo Emberti Gialloreti, Fabio Riccardi, Paola Scarcella, Giuseppe Liotta
Summary: This study investigated the predictors of emergency room access (ERA) and not-urgent emergency room access (NUERA) of community-dwelling frail older adults in Italy. Results showed that comorbidity, lack of social support, and functional limitations increase both ERA and NUERA rates generated by the older adult population. Bio-psycho-social frailty serves as an indicator of the frequency of ERAs, with intervention focusing on addressing the needs of robust and pre-frail individuals for prevention and care.
FRONTIERS IN PUBLIC HEALTH
(2021)
Article
Pediatrics
Krislyn M. Boggs, Janice A. Espinola, Ashley F. Sullivan, Rachel D. Freid, Marc Auerbach, Kohei Hasegawa, Margaret E. Samuels-Kalow, Carlos A. Camargo
Summary: The availability of pediatric emergency care coordinators (PECCs) in US emergency departments (EDs) slightly increased from 2015 to 2017, with 17.2% in 2015, 18.6% in 2016, and 19.8% in 2017. While PECCs can help improve the quality of care in EDs, about 80% of EDs still do not have them.
JOURNAL OF PEDIATRICS
(2021)
Article
Emergency Medicine
S. Aya Fanny, Brent D. Kaziny, Andrea T. Cruz, Elizabeth A. Camp, Kristy O. Murray, Tyler J. Nichols, Corrie E. Chumpitazi
Summary: This study evaluated the pediatric disease burden after Hurricane Harvey, showing increases in rashes, trauma, and toxicological diagnoses in children post-disaster. These findings underscore the need for more medication resources and public health measures focused on pediatric disaster preparedness and management.
WESTERN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Economics
Alex J. Turner, Igor Francetic, Ruth Watkinson, Stephanie Gillibrand, Matt Sutton
Summary: In publicly-funded healthcare systems, there are inequalities in waiting times for emergency care, with patients from more deprived areas facing longer waits and receiving less complex care. Patient-physician interactions and unconscious bias may contribute to these inequalities.
JOURNAL OF HEALTH ECONOMICS
(2022)
Article
Emergency Medicine
Rain E. Freeman, Krislyn M. Boggs, Ashley F. Sullivan, Mohammad K. Faridi, Rachel D. Freid, Carlos A. Camargo
Summary: The number of freestanding emergency departments (EDs) in the United States has been rapidly increasing, leading to concerns about their locations in relation to areas lacking emergency care. Research shows that most freestanding EDs are within 6 miles of the nearest hospital-based ED, with these close proximity EDs accounting for 76% of total patient visits.
ANNALS OF EMERGENCY MEDICINE
(2021)
Article
Public, Environmental & Occupational Health
James L. Lowery, Bruce Alexander, Rajeshwari Nair, Brett H. Heintz, Daniel J. Livorsi
Summary: This study evaluated antibiotic prescribing for viral and potentially bacterial Acute Respiratory Infections (ARIs) in patients seen at emergency departments and urgent care centers. The findings suggest there are major opportunities to improve management of both viral and potentially bacterial ARIs across Veterans Health Administration facilities, with some clinicians and sites more frequently adhering to ARI guideline recommendations on antibiotic use.
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
(2021)
Article
Public, Environmental & Occupational Health
Rana E. El Feghaly, Alaina Burns, Jennifer L. Goldman, Angela Myers, Amol Purandare, Brian R. Lee
Summary: The report highlighted the overall antibiotic use for respiratory infections in pediatric emergency departments and urgent care clinics, showing that antibiotics were used in 5.3% of diagnoses where antibiotics are not recommended, and first-line guideline-concordant antibiotics were used in 87% of diagnoses where antibiotics are recommended. It emphasizes the need for outpatient antibiotic stewardship efforts to address site and diagnosis-specific challenges.
AMERICAN JOURNAL OF INFECTION CONTROL
(2021)
Article
Emergency Medicine
Drew B. Richardson
Summary: From 2017 to 2019, Australian EDs saw an increase in daily presentations and patients experiencing access block, but in 2020, there was a decrease due to the COVID-19 pandemic. Future research should consider locality, role delineation, and changes in work practice in comparing ED responses to pandemics.
EMERGENCY MEDICINE AUSTRALASIA
(2021)
Article
Construction & Building Technology
Maria Pianigiani, Stefania Viti
Summary: The functionality of the Emergency Department of a hospital complex was evaluated in this study for an emergency scenario caused by a seismic event. The waiting time for treatment of patients was used as the response parameter. The study found that the functionality of the Emergency Department is influenced by various factors in both normal and emergency situations, including the size of active personnel, working hours, patient arrival rate, and adopted protocols.
JOURNAL OF BUILDING ENGINEERING
(2021)
Review
Criminology & Penology
Michelle J. Wang, Alexandra B. Khodadadi, Janet M. Turan, Kari White
Summary: The literature review found significant variability in EC policies and practices for sexual assault survivors in U.S. hospital EDs. While 60% of hospitals had an EC policy, actual provision of EC services was lower. Future research should continue to assess survivor access to EC in ED settings.
TRAUMA VIOLENCE & ABUSE
(2021)
Article
Urology & Nephrology
Walter R. Hsiang, Laurie Yousman, David Kim, Jaime A. Cavallo, Patrick A. Kenney, Piruz Motamedinia, Benjamin Breyer, Michael S. Leapman
Summary: The study found disparities in Medicaid insurance access for patients seeking urologic care at urgent care centers in the US. Medicaid-insured patients were less likely to be accepted and referred to specialists compared to those with commercial insurance. Expansion of Medicaid and affiliation with an institution were associated with increased acceptance of Medicaid.
Article
Environmental Sciences
Wojciech Kisiala, Izabela Racka, Katarzyna Suszynska
Summary: This study aims to explain the impact of organizational and spatial changes on the spatial accessibility of hospital emergency department (HED) networks. By using GIS techniques to measure the distances between HEDs and places of residence, the research found that the spatial reorganization of HED networks from 2011 to 2021 resulted in an overall improvement in the spatial accessibility of these facilities, reducing the distance between them and places of residence.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Article
Emergency Medicine
Melanie F. Molina, Matthew S. Pantell, Laura M. Gottlieb
Summary: The study aims to examine the prevalence of social Z code documentation in emergency department visits and its association with patient and hospital characteristics. The study found a very low prevalence of social Z code documentation nationwide, but identified certain associations with patient demographics. The findings highlight the importance of systematic documentation and its potential implications for social interventions and policy reforms.
ANNALS OF EMERGENCY MEDICINE
(2023)
Article
Health Care Sciences & Services
Lindsay Allen, Daniel Grossman
HEALTH SERVICES RESEARCH
(2020)
Article
Health Care Sciences & Services
Lindsay Allen, Cong T. Gian, Kosali Simon
Summary: This study found that Medicaid expansion was associated with increased emergency department wait times, indicating a possible worsening of ED crowding post-expansion. Future research should focus on uncovering the mechanisms through which insurance expansion led to increased ED wait times to inform policy decisions.
HEALTH SERVICES RESEARCH
(2022)
Article
Health Care Sciences & Services
Christoph F. Kurz, Adriana N. Koenig, Karl M. F. Emmert-Fees, Lindsay D. Allen
Summary: This study aims to investigate the impact of Differential Privacy (DP) on Medicaid enrollment data. The findings suggest that the DP method introduces errors up to 10% in the accuracy of Medicaid participation rates at the county level, especially for small subpopulations and racial and ethnic minority groups. The effect of DP on Medicaid participation rate accuracy is only small and negligible at the state level. However, the implementation of DP in the 2020 census and other related surveys may misrepresent Medicaid participation rates for small racial and ethnic minority groups, which can affect funding decisions.
HEALTH SERVICES RESEARCH
(2022)
Article
Substance Abuse
Lindsey Hammerslag, Jeffery Talbert, Julie M. Donohue, Michael Sharbaugh, Katherine Ahrens, Lindsay Allen, Anna E. Austin, Adam J. Gordon, Marian Jarlenski, Joo Yeon Kim, Shamis Mohamoud, Lu Tang, Marguerite Burns, Writing Comm MODRN
Summary: This study found variation in the utilization of urine drug testing (UDT) among individuals receiving buprenorphine treatment for opioid use disorder (OUD) in 9 states. Demographic, health, and health care utilization factors were associated with UDT. The findings have important implications for improving the quality of opioid addiction treatment.
DRUG AND ALCOHOL DEPENDENCE
(2023)
Editorial Material
Economics
Lindsay Allen
APPLIED HEALTH ECONOMICS AND HEALTH POLICY
(2023)
Article
Health Care Sciences & Services
Lindsay Allen, Diana Henry, Alicia Atwood
Summary: This study measured the impact of SNAP work requirements on mental health care use. The findings showed that exposure to work requirements led to an increase in health care use for mood disorders and anxiety among beneficiaries. The effect of the policy differed between men and women.
HEALTH SERVICES RESEARCH
(2023)
Article
Medical Informatics
Cody Lendon Mullens, J. Andres Hernandez, Evan D. Anderson, Lindsay Allen
JMIR MEDICAL INFORMATICS
(2020)