In:
BMJ Open, BMJ, Vol. 8, No. 7 ( 2018-07), p. e021392-
Abstract:
To examine current trends in the characteristics of patients visiting California emergency departments (EDs) in order to better direct the allocation of acute care resources. Design A retrospective study. Setting We analysed ED utilisation trends between 2005 and 2015 in California using non-public patient data from California’s Office of Statewide Health Planning and Development. Participants We included all ED visits in California from 2005 to 2015. Primary and secondary outcome measures We analysed ED visits and visit rates by age, sex, race/ethnicity, payer and urban/rural trends. We further examined age, sex, race/ethnicity and urban/rural trends within each payer group for a more granular picture of the patient population. Additionally, we looked at the proportion of patients admitted from the ED and distribution of diagnoses. Results Between 2005 and 2015, the annual number of ED visits increased from 10.2 to 14.2 million in California. ED visit rates increased by 27.8% (p 〈 0.001), with the greatest increases among patients aged 5–19 (37.4%, p 〈 0.001) and 45–64 years (41.1%, p 〈 0.001), non-Hispanic Black and Hispanic patients (56.8% and 48.8%, p 〈 0.001), the uninsured and Medicaid-insured (36.1%, p=0.002; 28.6%, p 〈 0.001) and urban residents (28.3%, p 〈 0.001). The proportion of ED visits resulting in hospitalisation decreased by 18.3%, with decreases across all payer groups. Conclusions Our findings reveal an increasing demand for emergency care and may reflect current limitations in accessing care in other parts of the healthcare system. Policymakers may need to recognise the increasingly vital role that EDs are playing in the provision of care and consider ways to incorporate this changing reality into the delivery of health services.
Type of Medium:
Online Resource
ISSN:
2044-6055
,
2044-6055
DOI:
10.1136/bmjopen-2017-021392
DOI:
10.1136/bmjopen-2017-021392.supp1
Language:
English
Publisher:
BMJ
Publication Date:
2018
detail.hit.zdb_id:
2599832-8
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