Emergency Department Capacity And Access In California, 1990–2001: An Economic Analysis.

Media report that hospitals are closing their emergency departments (EDs) and reducing access to ED services, raising concerns that EDs are not sustainable under competition and managed care. We analyzed financial, economic, capacity, and utilization data for California EDs for 1990–2001. We found t...

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Main Authors: Melnick, Glenn A., Nawathe, Amar C., Bamezai, Anil., Green, Lois.
Format: Villanova Faculty Authorship
Language:English
Published: 2004
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spelling Emergency Department Capacity And Access In California, 1990–2001: An Economic Analysis.
Melnick, Glenn A.
Nawathe, Amar C.
Bamezai, Anil.
Green, Lois.
Media report that hospitals are closing their emergency departments (EDs) and reducing access to ED services, raising concerns that EDs are not sustainable under competition and managed care. We analyzed financial, economic, capacity, and utilization data for California EDs for 1990–2001. We found that contrary to media reports, hospitals are not abandoning the ED market. Rather, our results show a robust market, where hospitals are adding ED capacity to meet increased demand and to maintain access. Supporting economic analyses show that EDs are sustainable since they generate a sizable and growing portion of inpatient admissions, which contribute to overall economic viability.
2004
Villanova Faculty Authorship
vudl:174004
Health Affairs W4 (web edition), March 24, 2004, 136-142.
en
dc.title_txt_mv Emergency Department Capacity And Access In California, 1990–2001: An Economic Analysis.
dc.creator_txt_mv Melnick, Glenn A.
Nawathe, Amar C.
Bamezai, Anil.
Green, Lois.
dc.description_txt_mv Media report that hospitals are closing their emergency departments (EDs) and reducing access to ED services, raising concerns that EDs are not sustainable under competition and managed care. We analyzed financial, economic, capacity, and utilization data for California EDs for 1990–2001. We found that contrary to media reports, hospitals are not abandoning the ED market. Rather, our results show a robust market, where hospitals are adding ED capacity to meet increased demand and to maintain access. Supporting economic analyses show that EDs are sustainable since they generate a sizable and growing portion of inpatient admissions, which contribute to overall economic viability.
dc.date_txt_mv 2004
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dc.source_txt_mv Health Affairs W4 (web edition), March 24, 2004, 136-142.
dc.language_txt_mv en
author Melnick, Glenn A.
Nawathe, Amar C.
Bamezai, Anil.
Green, Lois.
spellingShingle Melnick, Glenn A.
Nawathe, Amar C.
Bamezai, Anil.
Green, Lois.
Emergency Department Capacity And Access In California, 1990–2001: An Economic Analysis.
author_facet Melnick, Glenn A.
Nawathe, Amar C.
Bamezai, Anil.
Green, Lois.
dc_source_str_mv Health Affairs W4 (web edition), March 24, 2004, 136-142.
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dc_date_str 2004
dc_title_str Emergency Department Capacity And Access In California, 1990–2001: An Economic Analysis.
description Media report that hospitals are closing their emergency departments (EDs) and reducing access to ED services, raising concerns that EDs are not sustainable under competition and managed care. We analyzed financial, economic, capacity, and utilization data for California EDs for 1990–2001. We found that contrary to media reports, hospitals are not abandoning the ED market. Rather, our results show a robust market, where hospitals are adding ED capacity to meet increased demand and to maintain access. Supporting economic analyses show that EDs are sustainable since they generate a sizable and growing portion of inpatient admissions, which contribute to overall economic viability.
title Emergency Department Capacity And Access In California, 1990–2001: An Economic Analysis.
title_full Emergency Department Capacity And Access In California, 1990–2001: An Economic Analysis.
title_fullStr Emergency Department Capacity And Access In California, 1990–2001: An Economic Analysis.
title_full_unstemmed Emergency Department Capacity And Access In California, 1990–2001: An Economic Analysis.
title_short Emergency Department Capacity And Access In California, 1990–2001: An Economic Analysis.
title_sort emergency department capacity and access in california, 1990–2001: an economic analysis.
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