Redistribution of Emergency Department Patients After Disaster-Related Closures of a Public Versus Private Hospital in New York City

Disaster Medicine and Public Health Preparedness
David C LeeDaniel Polsky

Abstract

Sudden hospital closures displace patients from usual sources of care and force them to access facilities that lack their prior medical records. For patients with complex needs and for nearby hospitals already strained by high volume, disaster-related hospital closures induce a public health emergency. Our objective was to analyze responses of patients from public versus private emergency departments after closure of their usual hospital after Hurricane Sandy. Using a statewide database of emergency visits, we followed patients with an established pattern of accessing 1 of 2 hospitals that closed after Hurricane Sandy: Bellevue Hospital Center and NYU Langone Medical Center. We determined how these patients redistributed for emergency care after the storm. We found that proximity strongly predicted patient redistribution to nearby open hospitals. However, for patients from the closed public hospital, this redistribution was also influenced by hospital ownership, because patients redistributed to other public hospitals at rates higher than expected by proximity alone. This differential response to hospital closures demonstrates significant differences in how public and private patients respond to changes in health care access du...Continue Reading

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Citations

Feb 10, 2016·Disaster Medicine and Public Health Preparedness·David C LeeLewis R Goldfrank
Jun 30, 2015·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Nicole LurieJeffrey Kelman
Apr 15, 2016·Disaster Medicine and Public Health Preparedness·Hasan GucluMargaret Potter
Feb 14, 2017·Health Security·Eric S TonerEric G Carbone
Aug 3, 2017·Disaster Medicine and Public Health Preparedness·Sidrah MalikSilas W Smith
Jul 28, 2019·Journal of Primary Care & Community Health·Lilia R LukowskyClaudia Der-Martirosian

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