Effects of changes in copayment for obstetric emergency room visits on the utilization of obstetric emergency rooms

Health Policy ◽  
2015 ◽  
Vol 119 (10) ◽  
pp. 1358-1365 ◽  
Author(s):  
Iris Raz ◽  
Lena Novack ◽  
Maayan Yitshak-Sade ◽  
Yemima Shahar ◽  
Arnon Wiznitzer ◽  
...  
Keyword(s):  
Emergency Room ◽  
Emergency Room Visits ◽  
Emergency Rooms ◽  
Obstetric Emergency

scholarly journals Emergency room visits due to external causes and alcohol consumption - Capitals and the Federal District, Brazil, 2011

2015 ◽  
Vol 20 (4) ◽  
pp. 1037-1046 ◽  
Author(s):  
Márcio Dênis Medeiros Mascarenhas ◽  
Alice Cristina Medeiros das Neves ◽  
Rosane Aparecida Monteiro ◽  
Marta Maria Alves da Silva ◽  
Deborah Carvalho Malta
Keyword(s):  
Alcohol Consumption ◽  
Emergency Room ◽  
Federal District ◽  
Cross Sectional Study ◽  
Alcoholic Beverages ◽  
Emergency Room Visits ◽  
Emergency Rooms ◽  
Cross Sectional ◽  
Study Objective ◽  
External Causes

The study objective was to describe the profile and factors related to alcohol consumption among emergency room visits by external causes. It is a cross-sectional study with data from the Survey of Violence and Injuries in Emergency between September and October 2011, in 24 state capitals and the Federal District. Statistical analysis were performed for all cases treated in selected services, comparing the characteristics of the victims, according to the statement of alcohol consumption. 33,289 visits to emergency rooms by external causes in the population above 18 years of age were included. The prevalence of self-reported statement of alcohol consumption among these services was 14.9% for the 24 capitals and the Federal District, and was significantly higher among visits by violent causes than by accidents. For both accidents and violence the associated causes were victims male, black/brown, less educated, members of specific populations, occurrences on public roads. The results support global discussions on the importance of establishing policies and legal measures to restrict the consumption of alcohol and vehicular direction, control advertising of alcoholic beverages, and laws normalizing the functioning of sales points of alcoholic beverages.

Effectiveness of a Regional Poison Center in Reducing Excess Emergency Room Visits for Children's Poisonings

PEDIATRICS ◽  
1983 ◽  
Vol 72 (2) ◽  
pp. 164-169 ◽  
Author(s):  
Claire Chafee-Bahamon ◽  
Frederick H. Lovejoy
Keyword(s):  
Emergency Room ◽  
Hospital Care ◽  
Pediatric Patients ◽  
Effective Means ◽  
Poison Center ◽  
Emergency Room Visits ◽  
Emergency Rooms ◽  
Poison Centers ◽  
Hospital Visits ◽  
The Impact

A study was done to assess the necessity of hospital care for poisoning episodes in children less than 5 years old and to evaluate the impact of a regional poison center on the use of emergency rooms for pediatric poisonings. Of the pediatric patients seen in emergency rooms for acute poisonings, 63% did not require the services of a hospital; 95% did not contact the regional poison center before going to the hospital. When all poisoning episodes were considered, the regional poison center was found to reduce significantly pediatric visits to emergency rooms. Of parents who did not call the poison center, 44% went to an emergency room whereas less than 1% of parents who called the poison center went to a hospital (P < .001). Moreover, 28% of those who did not call made unnecessary visits to the hospital compared with only 0.5% of parents who called the poison center (P < .001). A regional poison center was found to be an effective means of decreasing unnecessary hospital visits for pediatric poisonings. Regional poison centers, however, need to further their impact by addressing outreach efforts to parents who do not call poison centers, emergency rooms, and pediatricians.

Pediatric Emergency Room Visits: A Risk Factor for Acquiring Measles

PEDIATRICS ◽  
1991 ◽  
Vol 87 (1) ◽  
pp. 74-79
Author(s):  
Karen M. Farizo ◽  
Paul A. Stehr-Green ◽  
Diane M. Simpson ◽  
Lauri E. Markowitz
Keyword(s):  
Risk Factor ◽  
Los Angeles ◽  
Confidence Interval ◽  
Emergency Room ◽  
Odds Ratio ◽  
The United States ◽  
Pediatric Emergency ◽  
Emergency Room Visits ◽  
Emergency Rooms ◽  
Case Control Studies

In recent years, measles outbreaks have occurred among unimmunized children in inner cities in the United States. From May 1988 through June 1989, 1214 measles cases were reported in Los Angeles, and from October 1988 through June 1989, 1730 cases were reported in Houston. More than half of cases were in children younger than 5 years of age, most of whom were unvaccinated. Of cases of measles in preschool-aged children, nearly one fourth in Los Angeles and more than one third in Houston were reported by one inner-city emergency room. To evaluate whether emergency room visits were a risk factor for acquiring measles, in Los Angeles, 35 measles patients and 109 control patients with illnesses other than measles, and in Houston, 49 measles patients and 128 control patients, who visited these emergency rooms, were enrolled in case-control studies. Control patients were matched to case patients for ethnicity, age, and week of visit. Records were reviewed to determine whether case patients had visited the emergency room during the period of potential measles exposure, which was defined as 10 to 18 days before rash onset, and whether control patients had visited 10 to 18 days before their enrollment visit. In Los Angeles, 23% of case patients and 5% of control patients (odds ratio = 5.2, 95% confidence interval = 1.7, 15.9; P < .01), and in Houston, 41% of case patients and 6% of control patients (odds ratio = 8.4, 95% confidence interval = 3.3, 21.2; P < .01), visited the emergency room during these periods. These data suggest that measles transmission in pediatric emergency rooms played a prominent role in perpetuating these outbreaks. Measles transmission in emergency rooms can be reduced by triage and isolation of suspected cases and by vaccination of eligible patients. Vaccination in emergency rooms provides postexposure prophylaxis and may increase vaccination coverage in the community.

Delivery of Emergency Care to Children: Who Is Responsible?

PEDIATRICS ◽  
1978 ◽  
Vol 62 (1) ◽  
pp. 124-127
Author(s):  
Willis A. Wingert
Keyword(s):  
United States ◽  
Emergency Room ◽  
The United States ◽  
Annual Number ◽  
Emergency Room Visits ◽  
Emergency Rooms ◽  
Socioeconomic Groups ◽  
Lower Socioeconomic ◽  
House Call ◽  
Personal Physician

The annual number of emergency room visits in the United States continues to increase progressively, and there is no reason to believe that this trend will be reversed. In 1974, almost 66 million visits were reported; in 1975, there were 71 million; and in 1976, there were 73.4 million.1 Lower socioeconomic groups have traditionally depended on the emergency room as their major resource for medical care. Recently, middle-class patients have been coming to emergency rooms in increasing numbers, presumably because of inability to contact their personal physician, the demise of the house call, the tendency of physicians to "sign out" to the local emergency rooms at night, or the desire to have the bill covered by medical insurance, which may cover only care that is rendered in a hospital rather than care in the patient's home or the physician's office.1

scholarly journals Examining the impact of mental disease on type 2 diabetes outcomes: results from the EpiChron Cohort

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
I Guerrero Fernández de Alba ◽  
A Gimeno-Miguel ◽  
B Poblador Plou ◽  
K Bliek Bueno ◽  
J Carmona Pirez ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Substance Abuse ◽  
Early Detection ◽  
Health Outcomes ◽  
Emergency Room ◽  
Mental Disease ◽  
Emergency Room Visits ◽  
Mental Diseases ◽  
The Impact

Abstract Background Type 2 diabetes mellitus (T2D) is often accompanied by other chronic diseases, including mental diseases (MD). This work aimed at studying MD prevalence in T2D patients and analyse its impact on T2D health outcomes. Methods Retrospective, observational study of individuals of the EpiChron Cohort aged 18 and over with prevalent T2D at baseline (2011) in Aragón, Spain (n = 63,365). Participants were categorized by the existence or absence of MD, defined as the presence of depression, anxiety, schizophrenia or substance abuse. MD prevalence was calculated, and a logistic regression model was performed to analyse the likelihood of the four studied health outcomes (4-year all-cause mortality, all-cause hospitalization, T2D-hospitalization, and emergency room visits) based on the presence of each type of MD, after adjusting by age, sex and number of comorbidities. Results Mental diseases were observed in 19% of T2D patients, with depression being the most frequent condition, especially in women (20.7% vs. 7.57%). Mortality risk was significantly higher in patients with MD (odds ratio -OR- 1.24; 95% confidence interval -CI- 1.16-1.31), especially in those with substance abuse (OR 2.18; 95% CI 1.84-2.57) and schizophrenia (OR 1.82; 95% CI 1.50-2.21). The presence of MD also increased the risk of T2D-hospitalization (OR 1.51; 95% CI 1.18-1.93), emergency room visits (OR 1.26; 95% CI 1.21-1.32) and all-cause hospitalization (OR 1.16; 95% CI 1.10-1.23). Conclusions The high prevalence of MD among T2D patients, and its association with health outcomes, underscores the importance of providing integrated, person-centred care and early detection of comorbid mental diseases in T2D patients to improve disease management and health outcomes. Key messages Comprehensive care of T2D should include specific strategies for prevention, early detection, and management of comorbidities, especially mental disorders, in order to reduce their impact on health. Substance abuse was the mental disease with the highest risk of T2D-hospitalization, emergency room visits and all-cause hospitalization.

scholarly journals Beneficial Effects of Remote Medical Care for Patients with Hereditary Hemorrhagic Telangiectasia during the COVID-19 Pandemic

2021 ◽  
Vol 10 (11) ◽  
pp. 2311
Author(s):  
Eleonora Gaetani ◽  
Fabiana Agostini ◽  
Luigi Di Martino ◽  
Denis Occhipinti ◽  
Giulio Cesare Passali ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Emergency Room ◽  
Medical Care ◽  
Hereditary Hemorrhagic Telangiectasia ◽  
Iron Supplementation ◽  
Quality Care ◽  
Psychological Status ◽  
Blood Transfusions ◽  
Emergency Room Visits

Background: Hereditary hemorrhagic telangiectasia (HHT) needs high-quality care and multidisciplinary management. During the COVID-19 pandemic, most non-urgent clinical activities for HHT outpatients were suspended. We conducted an analytical observational cohort study to evaluate whether medical and psychological support, provided through remote consultation during the COVID-19 pandemic, could reduce the complications of HHT. Methods: A structured regimen of remote consultations, conducted by either video-calls, telephone calls, or e-mails, was provided by a multidisciplinary group of physicians to a set of patients of our HHT center. The outcomes considered were: number of emergency room visits/hospitalizations, need of blood transfusions, need of iron supplementation, worsening of epistaxis, and psychological status. Results: The study included 45 patients who received remote assistance for a total of eight months. During this period, 9 patients required emergency room visits, 6 needed blood transfusions, and 24 needed iron supplementation. This was not different from what was registered among the same 45 patients in the same period of the previous year. Remote care also resulted in better management of epistaxis and improved quality of life, with the mean epistaxis severity score and the Euro-Quality of Life-Visual Analogue Scale that were significantly better at the end than at the beginning of the study. Discussion: Remote medical care might be a valid support for HHT subjects during periods of suspended outpatient surveillance, like the COVID-19 pandemic.

scholarly journals Domestic violence and abuse related emergency room visits in Ontario, Canada

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sonica Singhal ◽  
Sarah Orr ◽  
Harkirat Singh ◽  
Menaka Shanmuganantha ◽  
Heather Manson
Keyword(s):  
Domestic Violence ◽  
Emergency Room Visits ◽  
Emergency Rooms ◽  
Relative Index ◽  
Efficient Management ◽  
Dissemination Area ◽  
Icd 10 ◽  
Index Of Inequality ◽  
Policies And Programs ◽  
Domestic Violence And Abuse

Abstract Background Hospitals’ emergency rooms (ERs) are generally the first point of contact of domestic violence and abuse (DVA) victims to the health care system. For efficient management and resource allocation for ERs to manage DVA-related emergencies in Canada, it is important to quantify and assess the pattern of these visits. Methods Aggregate DVA-related ER visits data, using relevant ICD-10-CA codes, from 2012 to 2016 were retrieved from IntelliHealth Ontario. The 2011 ON-Marg (Ontario Marginalization) indices were linked at the Dissemination Area level to ER data. Descriptive analyses including total number and rate of visits per 100,000 people were calculated, stratified by age and sex. The Slope Index of Inequality (SII) and Relative Index of Inequality (RII) were also assessed. Results From 2012 to 2016, 10,935 (81.2% by females and 18.8% by males) DVA-related visits were made to ERs in Ontario. An annual average of 25.5 visits per 100,000 females and 6.1 visits per 100,000 males was observed. Residential instability and deprivation were significant predictors of DVA-related ER visits. No particular site of injury was indicated in 38.5% of visits, 24.7% presented with cranio-maxillofacial (CMF) trauma in isolation, 28.9% presented with non-CMF injuries, and 7.9% visits presented with both CMF and non-CMF injuries. Conclusion This study identified that the burden of DVA-related ER visits is large enough to warrant timely public health interventions, and observed that certain populations in Ontario experience more DVA and/or are more prone to its impact. Our findings have important implications for various stakeholders involved in planning and implementing relevant policies and programs.

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