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Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis
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Are testers also admitters? Comparing emergency physician resource utilization and admitting practices.

Nicole R Hodgson1, Souroush Saghafian2, Lanyu Mi3

  • 1Department of Emergency Medicine, Mayo Clinic Arizona, Phoenix, AZ, USA; Department of Emergency Medicine, District Medical Group-Maricopa Integrated Health Systems, Phoenix, AZ, USA.

The American Journal of Emergency Medicine
|July 26, 2018
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Summary

Emergency physicians who utilize more resources in the emergency department (ED) also tend to admit more patients. This study found a positive correlation between physician resource use and patient admission rates.

Keywords:
Emergency medicineProvider variabilityResource utilization

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Area of Science:

  • Emergency Medicine
  • Health Services Research
  • Physician Practice Patterns

Background:

  • Physician practice patterns in emergency departments (EDs) exhibit significant variability.
  • Understanding the drivers of this variability, such as resource utilization and admission decisions, is crucial for healthcare efficiency.

Purpose of the Study:

  • To investigate the relationship between individual emergency physician resource utilization and patient admission rates.
  • To quantify the association between the use of diagnostic and therapeutic resources and the likelihood of patient admission.

Main Methods:

  • A retrospective observational study was conducted in two EDs.
  • Observed-to-expected (O/E) ratios for resource utilization (IVs, labs, imaging) and admission rates were calculated for each physician.
  • Correlations between resource utilization O/E ratios and admission rate O/E ratios were analyzed.

Main Results:

  • Statistically significant positive correlations were found between physician resource utilization and admission rates.
  • Physicians with higher resource utilization demonstrated higher admission rates, and vice versa.
  • A clear trend indicated that increased use of ED resources was associated with increased patient admissions.

Conclusions:

  • Emergency physician resource utilization and patient admission rates are positively correlated.
  • Physicians utilizing more ED resources tend to admit a higher proportion of their patients.
  • These findings contribute to the understanding of physician-specific variability in emergency care.