Are the uninsured responsible for the increase in emergency department visits in the United States?

Annals of Emergency Medicine
Ellen J WeberMichael L Callaham

Abstract

The rise in emergency department (ED) use in the United States is frequently attributed to increased visits by the uninsured. We determine whether insurance status is associated with the increase in ED visits. Using the national Community Tracking Study Household Surveys from 1996 to 1997, 1998 to 1999, 2000 to 2001, and 2003 to 2004, we determined for each period the proportion of reported adult ED visits according to insurance status, family income, usual source of care, health status, and outpatient (non-ED) visits. Trends over time were tested for statistical significance. The proportion of adult ED visits by persons without insurance was stable across the decade. Uninsured individuals accounted for 15.5% of ED visits in 1996 to 1997, 16.1% in 1998 to 1999, 15.2% in 2000 to 2001, and 14.5% of visits in 2003 to 2004 (P for trend=.43). The proportion of visits by persons whose family income was greater than 400% of the federal poverty level increased from 21.9% to 29.0% (P=.002). The proportion of visits by those whose usual source of care was a physician's office increased from 52.4% in 1996 to 1997 to 59.0% in 2003 to 2004 (P=.002), whereas the proportion of visits by those without a usual source of care was essentially unc...Continue Reading

References

Jul 1, 1991·Annals of Emergency Medicine·G A PaneK A Salness
Jul 1, 1991·Annals of Emergency Medicine·R ShesserR Hirsch
Jun 1, 1985·Pediatric Emergency Care·C DeAngelisA K Duggan
Jul 1, 1985·Annals of Emergency Medicine·D P BueschingR Porter
Aug 14, 1996·JAMA : the Journal of the American Medical Association·G P YoungD Bouley
Nov 1, 1995·The Journal of Emergency Medicine·M A Rubin, M J Bonnin
Sep 18, 1998·JAMA : the Journal of the American Medical Association·P J Cunningham, P Kemper
Feb 9, 1999·The Journal of Emergency Medicine·P M Williford
May 4, 2002·American Journal of Public Health·Margot B KushelAndrew R Moss
Sep 5, 2002·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Joshua H SarverDavid W Baker
Nov 6, 2002·Annals of Internal Medicine·Donna L WashingtonRobert H Brook
Feb 1, 2003·Annals of Internal Medicine·Gordon Moore, Jonathan Showstack
Mar 26, 2004·Annals of Family Medicine·George E FryerDavid Lanier
Nov 12, 2005·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Deborah Fish RaginUNKNOWN Emergency Medicine Patients' Access To Healthcare (EMPATH) Study Investigators
Jan 13, 2006·Health Affairs·Peter J Cunningham
Feb 8, 2006·Journal of the American Geriatrics Society·Ula HwangR Sean Morrison
Apr 13, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Sarita A MohantySteven M Asch
Jun 20, 2006·Annals of Emergency Medicine·Kelly A HuntMichael L Callaham
Aug 5, 2006·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·T D SimonS J Hambidge
Aug 30, 2006·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Jeanette A Stingone, Luz Claudio
Oct 19, 2006·JAMA : the Journal of the American Medical Association·Daniel S BudnitzJoseph L Annest
Nov 23, 2006·Annals of Emergency Medicine·Michael J SchullTherese A Stukel
Mar 17, 2007·Contraception·Eleanor Bimla SchwarzRalph Gonzales
Apr 19, 2007·Critical Care Medicine·Donald B ChalfinUNKNOWN DELAY-ED study group
Nov 13, 2007·Annals of Emergency Medicine·Renee Y HsiaLaurence C Baker
Aug 10, 2011·Emergency Medicine Australasia : EMA·John A CravenDrew B Richardson

❮ Previous
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Citations

Jun 7, 2011·Social Psychiatry and Psychiatric Epidemiology·Min-Ting LinKathleen Carey
Sep 25, 2009·Internal and Emergency Medicine·Peter SmulowitzRobert Lipton
Jun 23, 2012·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Rafael DiazMandar Tulpule
Aug 18, 2009·HIV Medicine·J S JosephsUNKNOWN HIV Research Network
Mar 20, 2010·American Journal of Public Health·Bobby MilsteinGary Hirsch
Apr 14, 2009·Journal of Public Health Management and Practice : JPHMP·Emily F Shortridge, Jonathan R Moore
Sep 26, 2013·The Journal of Emergency Medicine·Lana LobachovaJohn T Nagurney
Feb 5, 2013·The American Journal of Emergency Medicine·Jestin N CarlsonClifton W Callaway
Oct 23, 2012·Annals of Emergency Medicine·Scott M Dresden
May 17, 2011·Annals of Emergency Medicine·Peter B SmulowitzBruce E Landon
Sep 12, 2009·The Journal of Emergency Medicine·Stephen R HaydenPeter Rosen
May 9, 2009·Annals of Emergency Medicine·Melissa L McCarthyDominik Aronsky
Jan 30, 2009·Annals of Emergency Medicine·William B Millard
Sep 9, 2015·Emergency Medicine Australasia : EMA·Joanna RegoKirsten Vallmuur
Jan 8, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Beatrice HoffmannMelissa L McCarthy
Jun 23, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Andrew HerringCarlos A Camargo
Apr 15, 2011·Journal of the American Academy of Nurse Practitioners·Arif Ahmed, Jack E Fincham
Apr 2, 2013·Journal of the Royal Statistical Society. Series A, (Statistics in Society)·Brian NeelonPatrick F Loebs
Mar 31, 2012·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Jane L UvaFoster C Gesten
Nov 19, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Amy KnowltonWade Gaasch
Oct 15, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Zachary F MeiselCharles C Branas
Jul 16, 2010·Journal of Evaluation in Clinical Practice·Shang-Jyh ChiouRonald Horswell
Nov 3, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Stacey S CofieldJames Quinn
Aug 16, 2014·Journal of the American Geriatrics Society·Katherine M HunoldTimothy F Platts-Mills
Oct 16, 2015·Public Health Nursing·Lisabeth M Searing, Kelly A Cantlin
Jan 16, 2016·IIE Transactions on Healthcare Systems Engineering·Rafael DiazBruce Britton
Apr 10, 2012·The American Journal of Medicine·Tom MillerGrace-Marie Turner
Jun 21, 2015·The American Journal of Emergency Medicine·Andrew S HwangClemens S Hong
Mar 10, 2015·Social Work in Public Health·Reza AminiRobab Sahaf
Jan 27, 2017·Prehospital and Disaster Medicine·Allysha C Maragh-BassAmy R Knowlton
Dec 29, 2011·Medical Care Research and Review : MCRR·Derek DeLiaDorothy Gaboda
Apr 7, 2021·Journal of General Internal Medicine·Layla ParastMarc N Elliott
Apr 22, 2018·The American Journal of Emergency Medicine·Sean D FosterMichael S Lyons
Jun 20, 2021·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Alessandro ParoTimothy M Pawlik

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