Medical Emergency Department Utilization Patterns Among Uninsured Patients With Psychiatric Disorders

2008 ◽  
Vol 59 (7) ◽  
pp. 808-811 ◽  
Author(s):  
Jacques Baillargeon ◽  
Chris R. Thomas ◽  
Brie Williams ◽  
Charles E. Begley ◽  
Sarghi Sharma ◽  
...  
Keyword(s):  
Emergency Department ◽  
Psychiatric Disorders ◽  
Medical Emergency ◽  
Emergency Department Utilization ◽  
Uninsured Patients ◽  
Utilization Patterns

scholarly journals Acute hydrocephalus secondary to meningioma with psychiatric symptoms as initial manifestation

2018 ◽  
Vol 5 (3) ◽  
pp. 32
Author(s):  
Marta Valentim ◽  
Iván Cadena Velez ◽  
Catarina Teles Neto ◽  
Sónia Almeida ◽  
Ana Gameiro ◽  
...  
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Psychiatric Disorders ◽  
Neurological Disorders ◽  
Psychiatric Symptoms ◽  
Correct Diagnosis ◽  
Medical Emergency ◽  
Psychiatric Symptomatology ◽  
Initial Manifestation ◽  
Acute Hydrocephalus

Background: Psychiatric disorders are often difficult to evaluate and sometimes have negative connotations associated. That could be a reason to ignore the correct diagnosis of underlying neurological diseases.Case report: We present a case report of a patient with psychiatric symptomatology, where during the study in the Emergency Department an acute hydrocephalus secondary to a massive meningioma was evidenced.Conclusions: This case exemplifies how psychiatric symptoms, often devalued by the physician, may be the first manifestation of serious neurological disorders, as well as being associated with a medical emergency, as in this case was the acute hydrocephalus.

scholarly journals Emergency Department Utilization Patterns Among Older Adults

2008 ◽  
Vol 63 (2) ◽  
pp. 204-209 ◽  
Author(s):  
F. D. Wolinsky ◽  
L. Liu ◽  
T. R. Miller ◽  
H. An ◽  
J. F. Geweke ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Emergency Department Utilization ◽  
Utilization Patterns

Insurance Coverage and the Appropriate Utilization of Emergency Departments

1996 ◽  
Vol 15 (1) ◽  
pp. 76-86 ◽  
Author(s):  
Sandra Smith Gooding ◽  
Darlene Brannigan Smith ◽  
Mark Peyrot
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Care Reform ◽  
Insurance Coverage ◽  
Emergency Department Utilization ◽  
Uninsured Patients ◽  
Utilization Behavior ◽  
Care Survey ◽  
Inappropriate Utilization ◽  
Ambulatory Medical Care

The authors explore the appropriate utilization of health services—specifically, emergency department services—by consumers with varying levels and types of insurance coverage. The assumed appropriateness of insured consumers’ utilization behavior has been central to key analyses of health care reform proposals in recent years. The authors’ results, derived from the 1992 National Ambulatory Medical Care Survey, suggest that this assumption is flawed, which leads to questions regarding the efficacy of policy evaluations premised on this and related assumptions. Uninsured patients and those with various types of insurance coverage all have high rates of inappropriate emergency department utilization. Compared to the uninsured, Medicaid patients have a higher rate of inappropriate usage, whereas HMO and other prepaid patients have a lower rate of inappropriate utilization. In view of this study's findings, a reexamination of the various health care reform proposals using a revised set of assumptions may yield decidedly different policy recommendations and implications.

scholarly journals Emergency Department Utilization of Case Managed Patients Following Benign Gynecologic Surgery

2020 ◽  
Author(s):  
Elizabeth A. Kelly ◽  
Cara C. Keller ◽  
Megan R Sax ◽  
Rocco A. Rossi
Keyword(s):  
Emergency Department ◽  
Case Management ◽  
Emergency Department Visits ◽  
Surgical Patients ◽  
Gynecologic Surgery ◽  
Emergency Department Utilization ◽  
Uninsured Patients ◽  
Two Factors ◽  
Benign Gynecology ◽  
Return Visits

Abstract Background Case management has been shown to reduce the amount of unnecessary emergency department visits among Medicaid or uninsured patients. This study aims to determine whether case management is associated with decreased unnecessary emergency department visits among benign gynecology surgical patients in the first thirty days following surgery.Results Out of 875 patients, there were a total of 58 return visits to the Emergency Department within thirty days and only 6 readmissions. Twenty-four emergency department visits occurred in the case managed group and thirty-eight emergency department visits occurred in the non-case managed group. The two factors that were statistically significant for increase odds of return to the emergency department were type of surgery (inpatient versus outpatient) and case management. The odds for returning to the Emergency Department for those not receiving case management was found to be 4.53 that of the case managed group when controlling for BMI, age, marital status, and type of surgery.Conclusion In an effort to reduce healthcare costs, case management is a promising intervention to help postoperative patients manage their care while minimizing emergency department visits.

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