Many Emergency Department Visits Could Be Managed At Urgent Care Centers And Retail Clinics

Weinick, Robin M.; Burns, Rachel M.; Mehrotra, Ateev

doi:10.1377/hlthaff.2009.0748

Cited by 366 publications

(302 citation statements)

References 20 publications

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“…These patients, who make up a significant proportion of patients at an ED, 43% in the US in 2011 (3), are triaged into lower priority queues that have even longer wait times. These patients can be treated elsewhere such as in an UC (6) where the wait times are much lower. The wait time distribution at EDs and UCs are shown in Tables II and III.…”

Section: Emergency Severity Indexmentioning

confidence: 99%

“…We model the UC as a price taker, taking the price of the ED as a given and setting a discount for patients over the ED co-payment. We consider two kinds of patient behavior: separating equilibrium, the strategic patients who self triage as non-critical go to the UC and those that selftriage as critical go to the ED; while in the pooling equilibrium all the strategic patients go to the UC first 6 . We show that the separating equilibrium dominates the pooling equilibrium for moderate error rates.…”

Section: Urgent Care Guidelinesmentioning

confidence: 99%

“…This is a good parameter to vary the overall congestion of the ED as it affects all the delay times without directly affecting other statistics. In Figure 7 we show the critical level of λ 0c for satisfying equation (6). Parameters values: θ = 30, ν = 120, µ = 100, λ0n = 20, λc = 10, λn = 50, cn=50, P =100, R=100, β=0.125 The graphs of the optimal discount Vs. α are shown for λ 0c = 1, 2, 4 are shown in Figure 8.…”

Section: Analysis Of the Discount In The Separating Equilibriummentioning

confidence: 99%

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Patient Choice in Acute Care

Çakıcı¹,

Dewan²,

Freimer³

2017

Proceedings of the Annual Hawaii International Conference on System Sciences

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Abstract-Consumer healthcare information plays a critical role in informing patients who participate in or make healthcare decisions for themselves without direct supervision of a healthcare professional. One such example is the choice of facility for acute care, prototypically between a fully equipped emergency care department (ED) at a hospital and a more convenient but less capable urgent care (UC) or retail clinic. We model a strategic patient making this decision taking into account the limited medical information and convenience factors that affect the patient's decision. This model is then used to inform the pricing decision made by the manager of the UC. We show that a separating equilibrium, in which all patients self-triaged as noncritical choose to go to the UC first, dominates pooling equilibria for moderate error rates in self-triage. We analyze the separating equilibrium to examine the effect of consumer health information (CHI) systems, and show that as the quality of the CHI decreases and the error rates go up, the co-pay for an UC decreases, the facility is smaller, and makes less profit.

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Section: Emergency Severity Indexmentioning

confidence: 99%

Section: Urgent Care Guidelinesmentioning

confidence: 99%

Section: Analysis Of the Discount In The Separating Equilibriummentioning

confidence: 99%

See 1 more Smart Citation

Patient Choice in Acute Care

Çakıcı¹,

Dewan²,

Freimer³

2017

Proceedings of the Annual Hawaii International Conference on System Sciences

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“…In any case, it is well proven that it is more cost-effective to treat conditions outside of emergency rooms if possible (Weinick et al, 2010).…”

Section: Objection 4a: Less Than the Regular Health Care Package Willmentioning

confidence: 99%

Universal Access to Health Care for Migrants: Applying Cosmopolitanism to the Domestic Realm

Wild

2015

Public Health Ethics

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This article discusses cosmopolitanism as the moral foundation for access to health care for migrants. The focus is on countries with sufficiently adequate universal health care for their citizens. The article argues for equal access to this kind of health care for citizens and migrants alike-including migrants at special risk such as asylum seekers or undocumented migrants. Several objections against equal access are raised, such as the cosmopolitan approach being too restrictive or too permissive, or the consequences being undesirable; but the objections are largely refuted. Some special cases in which a restriction of equal access to health care might be justified are described: humanitarian crisis, short term tourism, and the case of a migrant or refugee who will stay only very briefly on a state's territory.

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“…Alternative destinations to traditional ED care have been shown to have many potential benefits for patients and the general healthcare system, and to reduce the burden on the ED as well (Nutting, Goodwin, Flocke, Zyzanski, & Stange, 2003; Olshaker, 2009; Snooks et al, 1998; Weinick, Burns, & Mehrotra, 2010). It seems reasonable to assume that alternative destinations in general shorten both transport and waiting times (Nutting et al, 2003; Snooks et al, 1998).…”

Section: Introductionmentioning

confidence: 99%

Trust in the early chain of healthcare: lifeworld hermeneutics from the patient’s perspective

Boysen

Nyström

Christensson

et al. 2017

International Journal of Qualitative Studies on Health and Well

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Purpose: Patients must be able to feel as much trust for caregivers and the healthcare system at the healthcare centre as at the emergency department. The aim of this study is to explain and understand the phenomenon of trust in the early chain of healthcare, when a patient has called an ambulance for a non-urgent condition and been referred to the healthcare centre.Method: A lifeworld hermeneutic approach from the perspective of caring science was used. Ten patients participated: seven female and three male. The setting is the early chain of healthcare in south-western Sweden.Results: The findings show that the phenomenon of trust does not automatically involve medical care. However, attention to the patient’s lifeworld in a professional caring relationship enables the patient to trust the caregiver and the healthcare environment. It is clear that the “voice of the lifeworld” enables the patient to feel trust.Conclusion: Trust in the early chain of healthcare entails caregivers’ ability to pay attention to both medical and existential issues in compliance with the patient’s information and questions. Thus, the patient must be invited to participate in assessments and decisions concerning his or her own healthcare, in a credible manner and using everyday language.

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Many Emergency Department Visits Could Be Managed At Urgent Care Centers And Retail Clinics

Cited by 366 publications

References 20 publications

Patient Choice in Acute Care

Patient Choice in Acute Care

Universal Access to Health Care for Migrants: Applying Cosmopolitanism to the Domestic Realm

Trust in the early chain of healthcare: lifeworld hermeneutics from the patient’s perspective

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