Who uses hospital emergency rooms?: evidence from Houston/Harris County Texas.

Abstract:

:One of the factors thought to be causing hospital emergency room (ER) crowding is excessive use of the ER by the uninsured, who may lack access to other sources of care. This is a particular concern in Texas. We completed a survey in Houston/Harris County, Texas, addressing whether the uninsured are high users of the ER, and the role of financial concerns in choosing a venue for care. We found no evidence that the uninsured were higher users of the ER. Financial and insurance concerns discouraged ER use. Emergency room use was higher for Black/Non-Hispanics and those with a new medical condition. The findings provide support for ER diversion strategies that focus on providing high quality primary care and urgent care center alternatives to the ER, particularly in the Black/ Non-Hispanic community.

authors

Begley CE,Behan P,Seo M

doi

10.1353/hpu.0.0312

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

606-16

issue

2

eissn

1049-2089

issn

1548-6869

pii

S1548686910200153

journal_volume

21

pub_type

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