View Entire Collection
By Clinical Topic
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
More uninsured patients are being seen in EDs than ever before, but this isn't the main reason for overcrowded EDs, according to a new report. Crowding occurs for many reasons, including increased use by everyone, fewer EDs, and fewer inpatient beds.
To explore common but "unsupported" assumptions about ED use by the uninsured, researchers conducted a retrospective literature search from 1950 through September 19, 2008. Basing their findings on 127 articles meeting study criteria, they concluded that "available data do not support assumptions that uninsured patients are a primary cause of ED overcrowding, present with less acute conditions than insured patients, or seek ED care primarily for convenience." The data did support the assumption that ED care is more expensive than office-based care when appropriate, but this is true for all patients.
"People without insurance tend to use the emergency department less than any other group, and when they present they tend to be sicker," explained lead study author Manya F. Newton, MD. "We have a crisis in the emergency department and we have a crisis with the uninsured, but it is crucial that we do not assume that the latter is causing the former."
Sources: Newton MF, Keirns CC, Cunningham R, Hayward RA, Stanley R. Uninsured adults presenting to US emergency departments: assumptions vs. data. JAMA. 2008;300(16):1914-1924; Brown AJ. Uninsured not main reason for ER crowding. Reuters Health Information. http://www.nlm.nih.gov/medlineplus/news/fullstory_70667.html.
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top