Navigation Links
First study of emergency care for an entire state finds care isn't always local
Date:12/20/2011

INDIANAPOLIS -- The first study to examine patterns of emergency care for an entire state has found that 40 percent of emergency department visits in Indiana over a three-year period were by patients who visited more than one emergency department. This finding challenges conventional wisdom that patients are tightly bound to health care systems and tend to repeatedly visit local facilities.

The Regenstrief Institute study, "All Health Care Is Not Local: An Evaluation of the Distribution of Emergency Department Care Delivered in Indiana" has been honored with a 2011 Distinguished Paper award at the AMIA Annual Symposium and has been published in the Proceedings of the AMIA 2011 Annual Symposium. AMIA is a professional society of health care professionals, informatics researchers and thought leaders in biomedicine, health care, and science.

The Regenstrief study reports that nearly all emergency departments in Indiana shared patients with nearly every other emergency department. The high degree of connectedness between emergency departments had not been previously recognized at this scale, according to the researchers.

"Our findings provide critical, previously unrealized information to policy makers as well as those, like ourselves, who are designing strategies and technology to link medical information electronically. These numbers challenge premises upon which health information exchange policy and technology have been based," said the senior study author, Regenstrief Institute investigator Shaun Grannis, M.D., M.S., associate professor of family medicine at the Indiana University School of Medicine.

"Since EDs can't predict when patients will appear or know in what other places they have been seen, all EDs need instant access to information from wide swaths of geographic areas and actually the entire nation," said Dr. Grannis, who directs the Indiana Center of Excellence in Public Health Informatics, one of only four Centers for Disease Control-funded public health informatics centers in the nation. Data from the Indiana Public Health Emergency Surveillance System was used in the study to determine where emergency department visits were occurring.

As patients in the emergency department often forget key details or are too ill or injured to provide relevant medical history, medications or allergy information, immediate access to their complete medical records is critical to providing appropriate care.

"What may appear to be a simple problem is no longer simple when someone comes in for a second or third ED visit for the same issue. You are no longer thinking earache, you are thinking possible bone infection. Knowing that a patient who comes to the ED with chest pain had a recent clear cardiac scan will make a difference in treatment," said Regenstrief Institute investigator John T. Finnell, M.D., M.S., associate professor of emergency medicine at the IU School of Medicine, who is an author of the new study. He is an emergency medicine physician.

The researchers were not surprised by the large volume of visits to emergency departments across the state. Approximately 2.8 million patients generated 7.4 million visits over three years. But the wide range of the number of visits per patient from one to 385 was unexpected.

"Although our findings were specific to Indiana, ED use in other states is likely to be quite similar because there is nothing particularly unique about emergency care delivery in Indiana," Dr. Finnell said.


'/>"/>
Contact: Cindy Fox Aisen
caisen@iupui.edu
317-274-7722
Indiana University School of Medicine
Source:Eurekalert  

Related medicine news :

1. Medical Training School, Pima Medical Institute Offering First Bachelor's Degree Program
2. Retired Military Brass Support First Ladys Call to Reduce Child Obesity, Improve Nutrition
3. NASBE Supports First Lady Michelle Obama in Fight Against Childhood Obesity
4. PolicyLink CEO Angela Glover Blackwell Released the Following Statement on First Lady Michelle Obamas Childhood Obesity Initiative
5. MSU launches first anti-counterfeiting research program
6. AMA Joins First Lady in Fight Against Childhood Obesity
7. National Wildlife Federation Says Outdoor Time for Kids Can Help First Lady Achieve Her “Let's Move” Goal
8. First blinded study of venous insufficiency prevalence in MS shows promising results
9. Akron Institute of Herzing University Launches Its First Bachelors Degree Programs to Prepare Students for Even Greater Success in Business, Health Care and IT
10. First Gene Variants Linked to Stuttering Discovered
11. FAB-HOMES™ Presents First Passive House Collection
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
First study of emergency care for an entire state finds care isn't always local
(Date:2/8/2016)... ... 2016 , ... Brenntag Specialties, Inc.(BSI) , is pleased ... Beverage and Dietary Supplement market segments across the western United ... east of the Rocky Mountains since 2012. Consistent performance in business development ...
(Date:2/8/2016)... ... February 08, 2016 , ... ... Houma, LA, celebrates the beginning of a new charity campaign. As part of ... Appointed Special Advocates (CASA). In the belief that children deserve a voice, and ...
(Date:2/8/2016)... ... February 08, 2016 , ... A man who has struggled to quit smoking, a man ... , was determined to find solutions to his problems – and he did. Now Nabat, ... is ready to introduce his breakthrough inventions to the world and better people's lives. His ...
(Date:2/8/2016)... New York, NY (PRWEB) , ... February 08, 2016 , ... ... handles are too much to handle, you are not alone. According to the Center ... conditions include heart disease, stroke, type 2 diabetes and certain types of cancer, some ...
(Date:2/8/2016)... , ... February 08, 2016 , ... Steve Helwig & ... a vital new community enrichment program, has teamed up with Citizens Opposed to Domestic ... suffering from intimate abuse. To support all those victimized by the fear of violence ...
Breaking Medicine News(10 mins):
(Date:2/9/2016)... , Feb. 9, 2016 The new report "Global ... Business Research & Consulting group reveals that global diagnostic ultrasound devices ... to grow to US$ 7,466.3 million by 2019 at a CAGR ... analysis of global ultrasound market has been analyzed for six geographies ... , Asia-Pacific , Latin America ...
(Date:2/9/2016)... This TforG report includes the Surgical Procedures ... coding system in South Korea . ... report provides written and numerical analysis on the current ... addition, the latest reforms of the local Healthcare system ... --> The report helps businesses gain a unique ...
(Date:2/9/2016)... HONG KONG , Feb. 9, 2016 /PRNewswire/ ... PhD, has joined Athenex as Vice President of Corporate Strategy ... Raymond Yeung , MSc, MBA has joined as Senior Director and ... Hong Kong . Simon Pedder ... I have known for a while. Coupled together with their ...
Breaking Medicine Technology: