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Inappropriate emergency department visits.

D P Buesching, A Jablonowski, E Vesta

    Annals of Emergency Medicine
    |July 1, 1985
    PubMed
    Summary
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    Many emergency department (ED) visits are inappropriate, particularly for Medicaid patients and young children. Not having a personal physician significantly increases inappropriate ED utilization.

    Area of Science:

    • Health Services Research
    • Public Health
    • Healthcare Management

    Background:

    • Emergency departments (EDs) face challenges with appropriate utilization.
    • Established guidelines exist for assessing ED visit appropriateness.

    Purpose of the Study:

    • To evaluate emergency department (ED) utilization patterns.
    • To identify factors contributing to inappropriate ED visits.

    Main Methods:

    • Analysis of 3,130 ED visits across three community hospitals.
    • Application of American College of Emergency Physicians guidelines.
    • Statistical analysis of visit appropriateness based on patient demographics and visit circumstances.

    Main Results:

    • Overall inappropriate ED visit rate was 10.8%.

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  • Highest inappropriate rates observed in Medicaid patients (17.3%), young children (15.2%), and those without a personal physician (14.1%).
  • Inability to identify a personal physician was the strongest predictor of inappropriate ED use (P < .001).

    • Conclusions:

    • Significant variations exist in inappropriate ED utilization.
    • Patient-specific factors, such as lack of a personal physician, are key drivers of inappropriate ED use.
    • Targeted interventions may improve ED resource allocation.