Navigation Links
Transition into adult health care is a rocky road for 20 somethings

Young adults, a generally healthy population, are increasingly flocking to emergency departments (EDs) instead of outpatient clinics for medical treatment. Young adults remain the most likely age group to lack health insurance and often lose their insurance during this pivotal transition period between adolescence and adulthood.

Young adults receive a significant proportion of their care in the ED nearly twice as much as children and adolescents and nearly three times as much as adults older than 30, according to a recent study. Young adults without insurance or with public insurance were more likely to be treated in the ED than young adults with private insurance.

"Young adults need help navigating the health care system. There are very few resources to help them make the transition from adolescence to adulthood," said Robert J. Fortuna, M.D., M.P.H., principal investigator of the study and a senior instructor of Pediatrics and Internal Medicine at the University of Rochester Medical Center.

The study's authors focused on the usage of health care among young adults in part because they are the leading age group for many types of risky behavior, as rates of substance abuse, sexually transmitted illnesses, homicide and motor vehicle accidents all peak. As adolescents move into young adulthood, their suicide rate triples and they have considerably higher rates of tobacco use, binge drinking and illicit drug use.

Between 1996 and 2006, young adults' ED visits increased by 5,520,000 visits. By 2006, nearly a quarter (22 percent) of all health care delivered to young adults occurred in the ED. Young adults were more likely to be cared for in the ED for both injury-related and non-injury-related problems.

A disproportionate amount of health care delivered to black young adults in the ED, considerably more than white. Nearly half of all health care provided to young black men (48.5 percent) was delivered in the ED, which shot up 35.4 percent in 1996.

Authors suggested the increase may be related to such factors as barriers in accessing primary care, disparities in preventive care services or inequalities in preventive counseling and health education.

While some cases might have needed immediate attention by providers, the majority of the cases were not of an urgent nature. Less than 5 percent of young adults were admitted to the hospital following treatment.

In most cases, young adults were triaged to less urgent times and required lower rates of admission, which suggests that at least a portion of the health care provided could have been done in the outpatient setting, said Fortuna.

"Access to a usual source of primary care is associated with improved overall health outcomes and lower rates of preventable ED use," said Fortuna. "Improving health access for young adults will require a multifaceted approach to expand health care coverage, improve transition between adolescent and adult care, and increase overall awareness of the importance for young adults to establish a usual source of care."

The study, which was conducted by researchers at the University of Rochester Medical Center, examined data collected from 17,048 young adult ED visits and 14,443 young adult outpatient visits in the National Hospital Ambulatory Medical Care Survey and National Ambulatory Medical Care Survey.


Contact: Heather Hare
University of Rochester Medical Center

Related medicine news :

1. Historic Agreement Reached to Transition Illinois Residents Unnecessarily Housed in Large, Impersonal Nursing Homes
2. Transitions Optical Partners With Dr. Aliza Through to Improve Visual Quality for Hispanics
3. Transitions Championship Announces Strongest Field to Date and a Vision Like No Other on the PGA TOUR(R)
4. Team Garmin-Slipstream Officially Re-named Team Garmin-Transitions With Addition of Transitions Optical as New Sponsor
5. Older adults remember the good times
6. NAMI Launches Social Networking Site for Young Adults: Mental Health, Finances, Relationships, Music and More
7. NAMI Launches Social Networking Site for Young Adults: Mental Health, Finances, Relationships, Music and More
8. Mayor Reed Urges Older Adults in Atlanta to Get Screened for Diabetes
9. Movies Trigger Young Adult Smokers to Light Up
10. Residency match results not encouraging for adults needing primary care
11. 6 Out of 10 American Adults Drink
Post Your Comments:
(Date:6/26/2016)... N.J. (PRWEB) , ... June 27, 2016 , ... Quality ... sources, yet in many ways they remain in the eye of the beholder, according ... (EBO), a publication of The American Journal of Managed Care. For the full issue, ...
(Date:6/26/2016)... ... ... PawPaws brand pet supplements owned by Whole Health Supply is ... of felines. The formula is all-natural and is made from Chinese herbs that have ... Kidney Support Supplement Soft Chews are Astragalus Root Extract and Rehmannia Root Extract ...
(Date:6/25/2016)... ... 25, 2016 , ... Experts from the American Institutes for ... Meeting June 26-28, 2016, at the Hynes Convention Center in Boston. , AIR ... care planning, healthcare costs and patient and family engagement. , AIR researchers will ...
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand gesture animations, ... Christina Austin - CEO of Pixel Film Studios. , ProHand Cartoon’s package transforms ... Final Cut Pro X . Simply select a ProHand generator and drag it above ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... ... athletes and non-athletes recover from injury. Recently, he has implemented orthobiologic procedures as ... City area —Johnson is one of the first doctors to perform the treatment. ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Mass. , June 24, 2016   ... Spaulding Rehabilitation Network,s Dean Center for Tick ... Physical Medicine and Rehabilitation, MIT Hacking Medicine, University ... for Innovation, today announced the five finalists of ... for Lyme disease.  More than 100 scientists, clinicians, ...
(Date:6/24/2016)... SAN CLEMENTE, Calif. , June 24, 2016 /PRNewswire/ ... pulmonary function testing company, is now able to perform sophisticated lung ... ndd Medical Technologies , Inc. Patients are ... labs.  Thanks to ndd,s EasyOne PRO ® , ARL patients like ... any needed testing done in the comfort of her own home. ...
(Date:6/24/2016)... 24, 2016  Arkis BioSciences, a leading innovator ... more durable cerebrospinal fluid treatments, today announced it ... funding is led by Innova Memphis, followed by ... private investors.  Arkis, new financing will accelerate the ... market release of its in-licensed Endexo® technology. ...
Breaking Medicine Technology: