DOTmed Home MRI Oncology Ultrasound Molecular Imaging X-Ray Cardiology Health IT Business Affairs
News Home Parts & Service Operating Room CT Women's Health Proton Therapy Endoscopy HTMs Mobile Imaging
SEARCH
Current Location:
>
> This Story


Log in or Register to rate this News Story
Forward Printable StoryPrint Comment

Click here to read the lastest

 

 

Healthcare Act

Health insurance access is greatly improving among all racial groups after ACA implementation: report Quality of care is also improving, although “still far from optimal”

Study: MA reform had no effect on avoidable hospitalizations and racial disparities Insurance plans need to minimize cost burdens and be accepted by physicians

House passes SGR repeal with overwhelming majority After a vote of 392 to 37, legislation will go to the Senate

Physicians aren’t being flooded with new or sick patients under health care reform: report However, it did disrupt payor mix trends

CMS unveils the next phase for accountable care organizations Medicare homes in on health reform ideals with Next Generation Model ACOs

King v. Burwell: Interpreting five words in the ACA The Supreme Court case that could topple Obamacare

Inside the Beltway: The 114th Congress and healthcare policy When the 114th Congress was sworn in on January 6, 2015, they rolled up their sleeves and got to work -- on health care

White House budget raises concerns for patient access to imaging Will site-neutral payments and prior authorization hinder care in 2016? AMIC thinks so

Is Obamacare causing emergency room crowding? No, says new study The Affordable Care Act is not the cause of the problem. It comes from a primary care shortage

Urban health - big cities, big challenges In July, the Carolinas HealthCare System Anson in Wadesboro, N.C., a town of about 5,800 people, opened the doors to its new facility and embarked on a bold experiment.

Alexander Janke

Is Obamacare causing emergency room crowding? No, says new study

by Lauren Dubinsky , Senior Reporter
The notion that the Affordable Care Act is increasing access to insurance and resulting in a rise in emergency room visits is untrue, according to a study recently published in the American Journal of Emergency Medicine. It found the real source was inadequate access to primary care.

Researchers at the Wayne State University School of Medicine in Detroit evaluated data from the U.S. Department of Health and Human Services' 2013 National Health Interview Survey, which included 7,233 respondents who visited the emergency department at least once in the past 12 months.

Story Continues Below Advertisement

Streamline Your Radiology Workflow with RamSoft's PowerServer RIS/PACS

The PowerServer RIS/PACS is a single database application, essential to reducing redundant work, limiting manual data entry, and increasing consistency throughout healthcare practices. Click to learn how it will help you improve patient care and more.



They found that about 28 percent have no usual source of care and about 35 percent depend on the emergency department for care. None of them reported that the issue that brought them to the department was a true emergency.

Many locales across the country are dealing with a shortage of primary care physicians, especially Detroit. "You can imagine that the doctors and emergency departments at Detroit Receiving Hospital spend a lot of time seeing patients who have chronic conditions that warrant treatment by a primary care doctor," Alexander Janke, lead author of the study, told DOTmed News.

In order to solve this, the researchers recommend that the industry move toward a more patient-centered and integrated health care system. "Your primary care doctor should be talking to the emergency physician that you saw for your acute condition and both of them should be talking to the cardiologist who is managing your heart condition," said Janke. "As it becomes more integrated, that's an opportunity for each setting in which you receive health care services to address the full range of your needs insofar as they can."

They also recommend that policymakers should create new policies that provide incentives for emergency departments to engage in more holistic care for patients who don't have a stable usual source of care. That way, emergency departments will coordinate better referral and follow-up and address health issues unrelated to the patients' emergent conditions including hypertension management.

In addition, Janke believes that walk-in urgent care clinics may also play a part in solving the issue. Instead of enduring the long wait times in emergency departments, patients can go to one of these clinics under non-emergency conditions.

The researchers aren't planning on conducting any follow-up studies in the future, but Janke noted that once the National Health Interview Survey data for 2014 and 2015 are released, many more studies will be published on the matter. "We're going to get a really good swath of information to tell us what happened after the insurance enrollment from the Affordable Care Act took place," he said.

Back to HCB News
  Pages: 1

Healthcare Act


(59)
(1)
(7)

Ted Huss

ACA overloading ER's

December 18, 2014 10:04

So, it's not the ACA, it's access to primary care..Uh, gee, wasn't one of the main objections to the ACA that you can't add millions of insureds to a system that had a relatively fixed amount of physicians and expect the same level of patient care? This report sounds like it was done at the Administration's request, with a specified conclusion.

Log inor Register

to rate and post a comment

You Must Be Logged In To Post A Comment

Advertise
Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Directory
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Requests
Gold Service Dealer Program
Receive RFP/PS
Requests
Healthcare Providers
See all
HCP Tools
Jobs/Training
Find/Fill
A Job
Parts Hunter +EasyPay
Get Parts
Quotes
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Quotes
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to DOTmed.com, Inc. Copyright ©2001-2017 DOTmed.com, Inc.
ALL RIGHTS RESERVED