Patients who are dissatisfied with their usual source of care may seek costly nonurgent care in the emergency department

2003 ◽  
Keyword(s):  
Emergency Department ◽  
Usual Source Of Care ◽  
Usual Source ◽  
Source Of Care

92 Impact of a Usual Source of Care on the Rates of Computed Tomography Scans in the Emergency Department

2014 ◽  
Vol 64 (4) ◽  
pp. S33-S34
Author(s):  
M.F. Bellolio ◽  
L.R. Haas ◽  
N.D. Shah ◽  
R.L. Campbell ◽  
D. Cabrera ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Usual Source Of Care ◽  
Usual Source ◽  
Computed Tomography Scans ◽  
Source Of Care

scholarly journals The Impact of Insurance and a Usual Source of Care on Emergency Department Use in the United States

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Winston Liaw ◽  
Stephen Petterson ◽  
David L. Rabin ◽  
Andrew Bazemore
Keyword(s):  
Emergency Department ◽  
Low Income ◽  
The United States ◽  
Medical Expenditure ◽  
Usual Source Of Care ◽  
Cross Sectional ◽  
Usual Source ◽  
Insurance Type ◽  
Source Of Care ◽  
The Impact

Background. Finding a usual source of care (USC) is difficult for certain populations. This analysis determines how insurance type and having a USC affect the settings in which patients seek care. Methods. In this cross-sectional study of the 2000–2011 Medical Expenditure Panel Surveys, we assessed the percentage of low-income persons with half or more of their ambulatory visits to the emergency department (ED). Respondents were stratified based on insurance type and presence of a USC. Results. In 2011, among Medicaid enrollees without USCs, 21.6% had half or more of their ambulatory visits to EDs compared to 8.1% for those with USCs. Among the uninsured without USCs, 24.1% went to an ED for half or more of their ambulatory visits compared to 8.8% for those with USCs in 2011. Among the privately insured without USCs, 7.8% went to an ED for half or more of their ambulatory visits compared to 5.0% for those with USCs in 2011. These differences remained in multivariate analyses. Conclusions. Those who lack USCs, particularly the uninsured and Medicaid enrollees, are more likely to rely on EDs.

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