EMERGENCY DEPARTMENT UTILIZATION TRENDS: AN IN-DEPTH ANALYSIS USING NAMCS

Yıl 2024, Cilt: 10 Sayı: 1, 34 - 47, 30.06.2024

Thao Nguyen Serdar Aydın Yasamine Salkar

Öz

This comprehensive study investigates the utilization of emergency departments (ED) in the United States from 2016 to 2021. Utilizing data sourced from the National Ambulatory Medical Care Survey (NAMCS), the research focuses on analyzing trends in ED visits. Key demographic details such as age and gender, coupled with critical factors including insurance status and diverse medical conditions prompting urgent medical care, take center stage in our examination. The primary objective is to attain a nuanced understanding of the intricacies involved in individuals' utilization of emergency healthcare services. The study aspires to provide insights that can inform the refinement of healthcare planning, prudent resource allocation, and the formulation of effective public health policies. Fundamentally, our premise posits that the dynamics of ED utilization— encompassing the timing of visits, the demographic composition of visitors, and the nature of their medical concerns—significantly influence the operational dynamics of EDs. We contend that a comprehensive grasp of these factors has the potential to enhance operational efficiency, reduce costs, and ultimately elevate the well-being of patients navigating the complexities of emergency healthcare. Through unraveling the intricate web of ED utilization patterns, this research endeavors to yield valuable insights contributing to the creation of a healthcare system that is more responsive, efficient, and centered on the needs of patients.

Anahtar Kelimeler

Emergency Department Utilization, National Ambulatory Medical Care Survey (NAMCS), Healthcare Planning, Resource Allocation, Public Health Policies

Kaynakça

• AK;, S. J. (2012, August 2). The growing role of emergency departments in hospital admissions. The New England journal of medicine. https://pubmed.ncbi.nlm.nih.gov/22784039/
• Andersen, R., & Newman, J. F. (2005, December). Societal and individual determinants of Medical Care Utilization in the United States. The Milbank Quarterly. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2690261/
• BE;, S. P. L. (2013, March). A novel approach to identifying targets for cost reduction in the emergency department. Annals of emergency medicine. https://pubmed.ncbi.nlm.nih.gov/22795188/
• Bernstein SL;Aronsky D;Duseja R;Epstein S;Handel D;Hwang U;McCarthy M;John McConnell K;Pines JM;Rathlev N;Schafermeyer R;Zwemer F;Schull M;Asplin BR; ; (2009, January 16). The effect of emergency department crowding on clinically oriented outcomes. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. https://pubmed.ncbi.nlm.nih.gov/19007346/
• Centers for Disease Control and Prevention (CDC). (n.d.). Estimates of emergency department visits in the United States from 2016-2021. Centers for Disease Control and Prevention. https://data.cdc.gov/NCHS/Estimates-of-Emergency-Department-Visits-in-the-Un/ycxr-emue
• Cofield, S. S., Conwit, R., Barsan, W., & Quinn, J. (2010, October). Recruitment and retention of patients into emergency medicine clinical trials. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3058592/
• CW;, M. L. (2012, December). Understanding and interpreting the National Hospital Ambulatory Medical Care Survey: Key Questions and Answers. Annals of emergency medicine. https://pubmed.ncbi.nlm.nih.gov/23083968/
• Durand AC;Palazzolo S;Tanti-Hardouin N;Gerbeaux P;Sambuc R;Gentile S; (2012, September 25). Nonurgent patients in emergency departments: Rational or irresponsible consumers? perceptions of professionals and patients. BMC research notes. https://pubmed.ncbi.nlm.nih.gov/23006316/
• Herring A;Wilper A;Himmelstein DU;Woolhandler S;Espinola JA;Brown DF;Camargo CA; (2009, July 16). Increasing length of stay among adult visits to U.S. emergency departments, 2001-2005. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. https://pubmed.ncbi.nlm.nih.gov/19538503/
• Hoot NR;Leblanc LJ;Jones I;Levin SR;Zhou C;Gadd CS;Aronsky D; (2008, August). Forecasting emergency department crowding: A prospective, real-time evaluation. Journal of the American Medical Informatics Association : JAMIA. https://pubmed.ncbi.nlm.nih.gov/19261948/
• Hsia RY;Asch SM;Weiss RE;Zingmond D;Liang LJ;Han W;McCreath H;Sun BC; (2011, July). Hospital determinants of emergency department left without being seen rates. Annals of emergency medicine. https://pubmed.ncbi.nlm.nih.gov/21334761/
• JE;, P. J. (2008, January). Emergency department crowding is associated with poor care for patients with severe pain. Annals of emergency medicine. https://pubmed.ncbi.nlm.nih.gov/17913299/
• MA;, W. F. (2021, August). Comparing physician assistant and nurse practitioner practice in U.S. emergency departments, 2010-2017. The western journal of emergency medicine. https://pubmed.ncbi.nlm.nih.gov/34546892/
• Morganti KG;Bauhoff S;Blanchard JC;Abir M;Iyer N;Smith A;Vesely JV;Okeke EN;Kellermann AL; (2013, June 1). The evolving role of emergency departments in the United States. Rand health quarterly. https://pubmed.ncbi.nlm.nih.gov/28083290/
• Moskop JC;Sklar DP;Geiderman JM;Schears RM;Bookman KJ; (2009, May). Emergency department crowding, part 1--concept, causes, and moral consequences. Annals of emergency medicine. https://pubmed.ncbi.nlm.nih.gov/19027193/
• Murray, F., Allen, M., Clark, C. M., Daly, C. J., & Jacobs, D. M. (2021, October 23). Socio-demographic and -economic factors associated with 30-day readmission for conditions targeted by the Hospital Readmissions Reduction Program: A population-based study. BMC public health. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8540163/
• National Hospital Ambulatory Medical Care Survey: 2021 emergency ... (2021). https://www.cdc.gov/nchs/data/nhamcs/web_tables/2021-nhamcs-ed-web-tables-508.pdf
• Owens PL;Barrett ML;Gibson TB;Andrews RM;Weinick RM;Mutter RL; (2010, August). Emergency department care in the United States: A profile of national data sources. Annals of emergency medicine. https://pubmed.ncbi.nlm.nih.gov/20074834/
• Pines JM;Hilton JA;Weber EJ;Alkemade AJ;Al Shabanah H;Anderson PD;Bernhard M;Bertini A;Gries A;Ferrandiz S;Kumar VA;Harjola VP;Hogan B;Madsen B;Mason S;Ohlén G;Rainer T;Rathlev N;Revue E;Richardson D;Sattarian M;Schull MJ; (2011, December 18). International Perspectives on Emergency Department crowding. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. https://pubmed.ncbi.nlm.nih.gov/22168200/
• PN;, D. F. G. T. (2014, May). Clinical questions raised by clinicians at the point of care: A systematic review. JAMA internal medicine. https://pubmed.ncbi.nlm.nih.gov/24663331/
• Rust G;Ye J;Baltrus P;Daniels E;Adesunloye B;Fryer GE; (2008, August 11). Practical barriers to timely primary care access: Impact on adult use of emergency department services. Archives of internal medicine. https://pubmed.ncbi.nlm.nih.gov/18695087/
• RY;, R. M. R. J. (2019, June 16). Comparison of presenting complaint vs discharge diagnosis for identifying “ nonemergency” emergency department visits. JAMA. https://pubmed.ncbi.nlm.nih.gov/23512061/
• Sun BC;Hsia RY;Weiss RE;Zingmond D;Liang LJ;Han W;McCreath H;Asch SM; (2013, June). Effect of emergency department crowding on outcomes of admitted patients. Annals of emergency medicine. https://pubmed.ncbi.nlm.nih.gov/23218508/
• T;, B. J. N. (2000, November). Emergency department use in New York City: A substitute for primary care?. Issue brief (Commonwealth Fund). https://pubmed.ncbi.nlm.nih.gov/11665698/
• Tang N;Stein J;Hsia RY;Maselli JH;Gonzales R; (2010, August 11). Trends and characteristics of US Emergency Department visits, 1997-2007. JAMA. https://pubmed.ncbi.nlm.nih.gov/20699458/
• Taylor, J. (2006, November 1). Crowded conditions: Coming to an ER near you. Journal of Ethics | American Medical Association. https://journalofethics.ama-assn.org/article/crowded-conditions-coming-er-near-you/2006-11 U;, R. L. (2001, November 8). Access to care: A review of the Emergency Medicine Literature. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. https://pubmed.ncbi.nlm.nih.gov/11691664/
• Uscher-Pines L;Pines J;Kellermann A;Gillen E;Mehrotra A; (2013, January 19). Emergency department visits for Nonurgent Conditions: Systematic Literature Review. The American journal of managed care. https://pubmed.ncbi.nlm.nih.gov/23379744/
• YC;, H. R. A. (2011, May 18). Factors associated with closures of emergency departments in the United States. JAMA. https://pubmed.ncbi.nlm.nih.gov/21586713/