Reports Outline Medicare and Medicaid Findings from L.A. McCormack and Colleagues (Demographic factors influencing nonurgent emergency department…
Reports Outline Medicare and Medicaid Findings from
By a
Our news journalists obtained a quote from the research, "ED encounters occurring during the study period were classified as either urgent or nonurgent using ICD-9 diagnosis codes obtained from medical claims. Examples of urgent diagnoses include head traumas, burns, allergic reactions, poisonings, preterm labor or maternal/fetal distress. A total of 187,263 members aged 2 to 65 years were retained for study. A zero-inflated Poisson regression model examined the influence of member-level characteristics on nonurgent ED utilization, while simultaneously adjusting for all factors. Females were 41 % more likely to have a nonurgent ED visit (p > 0.0001). Members ages 50-65 were least likely to have a nonurgent ED visit (p > 0.0001). White members had higher odds of having at least one nonurgent ED visit (p > 0.0002). Rural members were 7.7 % less likely to have a nonurgent ED visit. Members in the 400 % + FPL category were less likely to seek nonurgent care from an ED (p > 0.0001). A nonurgent ED visit occurs when care is sought at an ED that could have been handled in a primary care setting. Approximately 30-50 % of all ED visits in
According to the news editors, the research concluded: "Results may be useful in ED utilization management efforts."
For more information on this research see: Demographic factors influencing nonurgent emergency department utilization among a Medicaid population. Health Care Management Science, 2017;20(3):395-402. Health Care Management Science can be contacted at: Springer,
Our news journalists report that additional information may be obtained by contacting L.A. McCormack, BlueCross & BlueShield Tennessee,
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