Many emergency department visits could be managed at urgent care centers and retail clinics
- PMID: 20820018
- PMCID: PMC3412873
- DOI: 10.1377/hlthaff.2009.0748
Many emergency department visits could be managed at urgent care centers and retail clinics
Abstract
Americans seek a large amount of nonemergency care in emergency departments, where they often encounter long waits to be seen. Urgent care centers and retail clinics have emerged as alternatives to the emergency department for nonemergency care. We estimate that 13.7-27.1 percent of all emergency department visits could take place at one of these alternative sites, with a potential cost savings of approximately $4.4 billion annually. The primary conditions that could be treated at these sites include minor acute illnesses, strains, and fractures. There is some evidence that patients can safely direct themselves to these alternative sites. However, more research is needed to ensure that care of equivalent quality is provided at urgent care centers and retail clinics compared to emergency departments.
Similar articles
-
Retail clinics, primary care physicians, and emergency departments: a comparison of patients' visits.Health Aff (Millwood). 2008 Sep-Oct;27(5):1272-82. doi: 10.1377/hlthaff.27.5.1272. Health Aff (Millwood). 2008. PMID: 18780911 Free PMC article.
-
Comparing costs and quality of care at retail clinics with that of other medical settings for 3 common illnesses.Ann Intern Med. 2009 Sep 1;151(5):321-8. doi: 10.7326/0003-4819-151-5-200909010-00006. Ann Intern Med. 2009. PMID: 19721020 Free PMC article.
-
The value of urgent care dermatology.Int J Dermatol. 2019 Jan;58(1):80-85. doi: 10.1111/ijd.14186. Epub 2018 Aug 28. Int J Dermatol. 2019. PMID: 30152519
-
Sobering centers, emergency medical services, and emergency departments: A review of the literature.Am J Emerg Med. 2021 Feb;40:37-40. doi: 10.1016/j.ajem.2020.11.031. Epub 2020 Nov 17. Am J Emerg Med. 2021. PMID: 33340876 Review.
-
Mortality, admission rates and outpatient use among frequent users of emergency departments: a systematic review.Emerg Med J. 2016 Mar;33(3):230-6. doi: 10.1136/emermed-2014-204496. Epub 2015 May 7. Emerg Med J. 2016. PMID: 25953837 Review.
Cited by
-
Neighborhood socioeconomic factors and characteristics correlated with avoidable emergency department visits: A spatial analysis of a Canadian academic hospital.PLoS One. 2024 Oct 28;19(10):e0311575. doi: 10.1371/journal.pone.0311575. eCollection 2024. PLoS One. 2024. PMID: 39466729 Free PMC article.
-
A multicenter randomized control trial: Point-of-care syndromic assessment versus standard testing in urgent care center patients with acute respiratory illness.J Am Coll Emerg Physicians Open. 2024 Oct 23;5(5):e13306. doi: 10.1002/emp2.13306. eCollection 2024 Oct. J Am Coll Emerg Physicians Open. 2024. PMID: 39445121 Free PMC article.
-
ChatGPT's Role in Improving Education Among Patients Seeking Emergency Medical Treatment.West J Emerg Med. 2024 Sep;25(5):845-855. doi: 10.5811/westjem.18650. West J Emerg Med. 2024. PMID: 39319818 Free PMC article.
-
Extending emergency care beyond discharge: Piloting a virtual after care clinic.J Am Coll Emerg Physicians Open. 2024 Sep 12;5(5):e13302. doi: 10.1002/emp2.13302. eCollection 2024 Oct. J Am Coll Emerg Physicians Open. 2024. PMID: 39267705 Free PMC article.
-
Emergency department service utilisation of older patients with urgent conditions: a cross-sectional observational study.Int J Emerg Med. 2024 Sep 9;17(1):119. doi: 10.1186/s12245-024-00674-6. Int J Emerg Med. 2024. PMID: 39251897 Free PMC article.
References
-
- Berry A, Brousseaus D, Brotanek JM, Tomany-Korman S, Flores G. Why Do Parents Bring Children to the Emergency Department for Nonurgent Conditions? A Qualitative Study. Ambul Pediatr. 2008;8(no. 6):360–367. - PubMed
-
- Gill JM, Riley AW. Nonurgent Use of Hospital Emergency Departments: Urgency from the Patient's Perspective. J Fam Pract. 1996;42(no. 5):491–496. - PubMed
-
- Koziol-McLain J, Price D, Weiss B, Quinn A, Honigman B. Seeking Care for Nonurgent Medical Conditions in the Emergency Department: Through the Eyes of the Patient. J Emerg Nurs. 2000;26(no. 6):554–563. - PubMed
-
- Young GP, Wagner MB, Kellermann AL, Ellis J, Bouley D. Ambulatory Visits to Hospital Emergency Departments. Patterns and Reasons for Use. 24 Hours in the Ed Study Group. JAMA. 1996;276(no. 6):460–465. - PubMed
-
- Schull MJ, Kiss A, Szalai JP. The Effect of Low-Complexity Patients on Emergency Department Waiting Times. Ann Emerg Med. 2007;49(no. 3):257–264. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
