کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3245979 1589118 2015 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Characteristics of Medicaid-Covered Emergency Department Visits Made by Nonelderly Adults: A National Study
ترجمه فارسی عنوان
ویژگی های بازدید از بخش اورژانس تحت پوشش خدمات درمانی ساخته شده توسط افراد غیربزرگسال: مطالعه ملی
کلمات کلیدی
خدمات درمانی؛ بازدید های اورژانس؛ استفاده مکرر
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
چکیده انگلیسی

BackgroundThe Affordable Care Act has added millions of new Medicaid enrollees to the health care system. These patients account for a large proportion of emergency department (ED) utilization.ObjectiveOur aim was to characterize this population and their ED use at a national level.MethodsWe used the 2010 National Hospital Ambulatory Medical Care Survey (NHAMCS) to describe demographics and clinical characteristics of nonelderly adults (≥18 years old and ≤64 years old) with Medicaid-covered ED visits. We defined frequent ED users as individuals who make ≥4 ED visits/year and business hours as 8 am to 5 pm. We used descriptive statistics to describe the epidemiology of Medicaid-covered ED visits.ResultsNHAMCS included 21,800 ED visits by nonelderly adults in 2010, of which 5,659 (24.09%) were covered by Medicaid insurance. Most ED visits covered by Medicaid were made by patients who are young (25 and 44 years old) and female (67.95%; 95% confidence interval [CI] 66.00–69.89). A large proportion of the ED visits covered by Medicaid were revisits within 72 h (14.66%; 95% CI 9.13–20.19) and from frequent ED users (32.32%; 95% CI 24.29–40.35). Almost half of all ED visits covered by Medicaid occurred during business hours (45.44%; 95% CI 43.45–47.43).ConclusionsThe vast majority of Medicaid enrollees who used the ED were young females, with a large proportion of visits occurring during business hours. Almost one-third of all visits were from frequent ED users.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Emergency Medicine - Volume 49, Issue 6, December 2015, Pages 984–989
نویسندگان
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