Navigation Links
Severely compromised life circumstances cause frequent ER use by vets
Date:4/11/2013

WASHINGTON Even with health insurance, ready access to preventive, specialty and behavioral health care and comprehensive electronic medical records, nearly 8 percent of patients in the Veterans Health Administration (VHA) visit the emergency department two or more times per year, according to a study published online Tuesday in Annals of Emergency Medicine ("What Drives Frequent Emergency Department Use in an Integrated Health System: National Data from the Veterans Health Administration"). The study, along with an accompanying editorial ("How Frequent Emergency Department Use by U.S. Veterans Can Inform Good Public Policy"), casts doubt that any simplistic solution to frequent ER use exists.

"Just as we see in the civilian population, frequent users of the ER in the VHA generally have severely compromised life circumstances and high levels of psychosocial dysfunction in addition to medical needs," said lead study author Kelly Doran, MD, of the Robert Wood Johnson Foundation Clinical Scholars Program at the Yale University School of Medicine and the U.S. Department of Veterans Affairs in New Haven, Conn. "Our findings defy the common assumption that once patients have ongoing medical care and health insurance their ER use will drop off. Instead, it appears that improved health outcomes may be realized through increased spending on social services, such as housing subsidies and income supplements."

Researchers analyzed more than four million records from 2010 for patients enrolled in the Veterans Health Administration. Most (83.2 percent) had no VHA emergency department visit, while 8.9 percent had one ER visit. Patients who visited the ER two to four times made up 6.4 percent of the patient population. Those who visited five to 10 times made up 1.3 percent of the population, and patients with 11-25 visits made up 0.2 percent of the population. A tiny percentage, 0.01 percent, had more than 25 visits.

Factors most consistently and strongly associated with all levels of emergency department use were schizophrenia, homelessness, opiate prescriptions being filled and heart failure.

"This isn't a problem of insufficient medical care providing access to more of the same outpatient care is unlikely to eliminate frequent ER use," said Dr. Doran.

Jesse Pines, MD, MBA, of the George Washington University in Washington D.C., the author of the accompanying editorial, wrote that the VHA "is an integrated delivery system that operates in many ways like an accountable care organization, a major cornerstone of the [Affordable Care Act]."

"Even accountable care organizations will have frequent ER users," said Dr. Pines. "Therefore efforts should focus on enhancing the quality of emergency care, rather than policies intended to undermine emergency departments. For example, non-payment for ER care for specific conditions is often discussed as a way to reduce costs. This study makes it even clearer that non-payment programs focused on emergency departments are just not good public policy."


'/>"/>

Contact: Julie Lloyd
jlloyd@acep.org
202-728-0610
American College of Emergency Physicians
Source:Eurekalert

Related medicine news :

1. Severely Injured Vets May Need Ongoing Emotional Care
2. Job burnout can severely compromise heart health
3. US Drug Watchdog Now Urges Trial Law Firms To Join Them In A Effort To Help The Most Severely Injured Victims Of A Transvaginal Mesh Failure-With A Local Approach
4. US Drug Watchdog Now Urges Trial Law Firms To Join Them In Their Effort To Help Severely Injured Victims Of A Transvaginal Mesh Failure-With A State Specific Approach
5. Exercise May Stave Off Depression in Severely Obese
6. Severely Obese Women Attempting IVF May Have Lower Egg Quality
7. Severely Obese Donors Raise Risks for Kids With Liver Transplant
8. Parents of Severely Disabled Kids Say They Enrich Their Lives
9. Severely Obese Have More Complications With Spinal Surgery
10. New technique may help severely damaged nerves regrow and restore function
11. Rewired visual input to sound-processing part of the brain leads to compromised hearing
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/3/2016)... ... May 03, 2016 , ... Finding the right way to address a patient’s condition before it ... now getting on board. , “You do the right thing, at the right time, at ... down, not up,” said Leonard M. Fromer, MD, FAAFP, from Group Practice Forum. “Even if ...
(Date:5/3/2016)... ... 2016 , ... Dave Newberry, broker/owner of Newberry Realty, recently announced his office ... luncheon on Friday, May 20. “We have raised over $1,000 for the table to ... Newberry. , PICC is a local Kent, WA, clinic that cares for drug-exposed babies ...
(Date:5/2/2016)... ... 02, 2016 , ... It has just been announced Jack Uldrich, ... throughout the month of May. , Uldrich is the author of 11 books and ... frequently appears on the Science Channel’s FutureScape and Discovery Channel’s Inside Out. , Known ...
(Date:5/2/2016)... ... May 02, 2016 , ... As directed by its ... Pennsylvania (HAP) issues its full support to allow certified nurse practitioners (CNP) to practice ... they have worked under such supervision for three years and 3,600 hours. , In ...
(Date:5/2/2016)... ... May 02, 2016 , ... Eating Recovery Center’s Insight Behavioral ... and anxiety disorders, has rebranded its eating disorder program under a new name: Eating ... treatment facility on May 16. , To celebrate, ERC Chicago will host a ...
Breaking Medicine News(10 mins):
(Date:4/28/2016)... April 28, 2016 Oramed Pharmaceuticals Inc. ... pharmaceutical company focused on the development of oral drug delivery ... upcoming PIONEERS 2016 conference, presented by Joseph Gunnar ... New York . Nadav Kidron , ... conference. Presentation Details:   PIONEERS ...
(Date:4/27/2016)... April 27, 2016  Hologic, Inc. (Nasdaq: ... results for the fiscal second quarter ended March ... of $0.24 increased 41.2%, and non-GAAP diluted EPS ... increased 5.8% on a reported basis, and 6.3% ... "We posted another good quarter, highlighted by 14.6% ...
(Date:4/27/2016)... Transparency Market Research has published ... Global Industry Analysis, Size, Share, Growth, Trends, and Forecast ... skincare devices market was valued at US$ 7,255.8 Mn ... CAGR of 10.1% from 2015 to 2023 to reach ... full Skincare Devices Market (Treatment Device - LED Therapy Devices, ...
Breaking Medicine Technology: