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:10/12/2017)... ... October 12, 2017 , ... CitiDent and San Francisco ... using cutting-edge Oventus O2Vent technology. As many as 18 million Americans are estimated ... in breathing. Oral appliances can offer significant relief to about 75 percent of ...
(Date:10/12/2017)... , ... October 12, 2017 , ... IsoComforter, Inc. ( ... announced today the introduction of an innovative new design of the shoulder pad. ... you get maximum comfort while controlling your pain while using cold therapy. By utilizing ...
(Date:10/12/2017)... ... 12, 2017 , ... Information about the technology: , Otomagnetics ... enable prevention of a major side effect of chemotherapy in children. Cisplatin and ... For cisplatin, hearing loss is FDA listed on-label as a dose limiting toxicity. ...
(Date:10/12/2017)... ... , ... Leading pediatric oncology experts at Children’s National Health System ... of the International Society of Paediatric Oncology (SIOP) Oct. 12-15. Chaired by ... Blood Disorders at Children’s National, and Stephen P. Hunger, M.D., Chief of the ...
(Date:10/12/2017)... ... October 12, 2017 , ... Health Literacy ... health literacy software tool, and the Cancer Patient Education Network (CPEN), an independent ... today announce a new strategic alliance. , As CPEN’s strategic partner, HLI ...
Breaking Medicine News(10 mins):
(Date:10/4/2017)... SEOUL, South Korea , Oct. 4, 2017 /PRNewswire/ ... launched its next-generation CPR training aide "cprCUBE" on Kickstarter. ... of chest compression during cardiac arrests with better efficiency ... patient-mannequins. It also offers real-time feedback on efficacy of ... The crowdfunding campaign has a goal to raise ...
(Date:10/2/2017)... Lilly and Company (NYSE: LLY ) will ... 2017 on Tuesday, October 24, 2017. Lilly will also ... investment community and media to further detail the company,s ... at 9 a.m. Eastern time. Investors, media and the ... conference call through a link that will be posted ...
(Date:9/28/2017)... 28, 2017 Hill-Rom Holdings, Inc. (NYSE: HRC), ... call and webcast on Friday, November 3, 2017, beginning ... ending at approximately 8:30 a.m. (CDT) / 9:30 a.m. ... 2017 financial performance and guidance for 2018, Hill-Rom executives ... enhance operational performance, and long-range financial outlook through 2020. ...
Breaking Medicine Technology: