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Patchwork access. Primary care in EDs on the rise

P McNamara¹, R Witte, A Koning

¹American Hospital Association, Chicago, IL 60611.

|May 20, 1993

Summary

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A high percentage of emergency department (ED) visits in major cities involve non-emergent primary care. These cases could often be managed in alternative healthcare settings, reducing ED burden.

Area of Science:

Health Services Research
Public Health Policy
Emergency Medicine

Background:

Emergency departments (EDs) in urban areas frequently manage non-emergent primary care needs.
This practice contributes to ED overcrowding and resource strain.

Purpose of the Study:

To quantify the proportion of ED visits for non-emergent primary care in four major US cities.
To assess the potential for diverting these visits to alternative care settings.

Main Methods:

Analysis of ED visit data from four large urban communities.
Categorization of visits based on medical urgency and primary care appropriateness.

Main Results:

A significant majority of ED visits studied were for non-emergent primary care.

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These visits represent a substantial opportunity for care redirection.

Conclusions:

Reducing non-emergent primary care visits to EDs can improve efficiency.
Policy interventions and enhanced primary care access are needed to address this issue.