Featured Research

from universities, journals, and other organizations

Review of most successful outside interventions in reducing emergency department use

Date:
October 22, 2013
Source:
George Washington University
Summary:
Five types of interventions to reduce emergency department (ED) use have been identified and published in a new study that aims to reduce ED usage.

In recent years, many groups, including policy makers and health systems, have looked for ways to reduce the number of visits to the emergency department (ED) as a way to lower costs and improve the quality of care. Research conducted by Jesse Pines, M.D., director of the Office of Clinical Practice Innovation and professor of emergency medicine at the George Washington University (GW) School of Medicine and Health Sciences, explored interventions that had been implemented outside of EDs that were designed to reduce ED use.

For the most part, published interventions have been successful. However, the degree to which they reduced ED visits varied widely. Pines' systematic review, published in the journal Academic Emergency Medicine, found that two-thirds of the published studies on the topic show actual reductions in ED use.

His findings looked at five types of interventions to reduce ED use:

-- Patient education,

-- creation of additional non-ED capacity,

-- managed care,

-- pre-hospital diversion,

-- and patient financial incentives.

While the greatest magnitude of reductions were found in patient education, interventions in patient financial incentives and managed care had the greatest number of studies showing reductions in the ED. These findings will have significant implications for insurers and policymakers seeking to reduce ED use.

According to Pines, who is also a professor of health policy at the GW School of Public Health and Health Services, "Reducing ED use has become a major priority for many organizations, and is an important part of many initiatives included in the Affordable Care Act. We found many interventions can be successful in achieving this goal, but we must also think carefully about how initiatives can impact quality and access to care."

While many of the studies demonstrated large reductions in ED use, "….only a handful of studies really look at patient outcomes. Discouraging people from getting needed care has the potential for unintended consequences when sick people stay home," said Pines. "Furthermore, some of the interventions, especially those that added non-ED capacity, had the effect of reducing ED use, but increasing overall healthcare consumption. As new programs are rolled out to discourage people from going to EDs, we need to study them carefully to ensure they are safe and look at how they impact big picture costs."


Story Source:

The above story is based on materials provided by George Washington University. Note: Materials may be edited for content and length.


Journal Reference:

  1. Sofie Rahman Morgan, Anna Marie Chang, Mahfood Alqatari, Jesse M. Pines. Non-Emergency Department Interventions to Reduce ED Utilization: A Systematic Review. Academic Emergency Medicine, 2013; 20 (10): 969 DOI: 10.1111/acem.12219

Cite This Page:

George Washington University. "Review of most successful outside interventions in reducing emergency department use." ScienceDaily. ScienceDaily, 22 October 2013. <www.sciencedaily.com/releases/2013/10/131022131654.htm>.
George Washington University. (2013, October 22). Review of most successful outside interventions in reducing emergency department use. ScienceDaily. Retrieved October 20, 2014 from www.sciencedaily.com/releases/2013/10/131022131654.htm
George Washington University. "Review of most successful outside interventions in reducing emergency department use." ScienceDaily. www.sciencedaily.com/releases/2013/10/131022131654.htm (accessed October 20, 2014).

Share This



More Health & Medicine News

Monday, October 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

How Nigeria Beat Its Ebola Outbreak

How Nigeria Beat Its Ebola Outbreak

Newsy (Oct. 20, 2014) The World Health Organization has declared Nigeria free of Ebola. Health experts credit a bit of luck and the government's initial response. Video provided by Newsy
Powered by NewsLook.com
Another Study Suggests Viagra Is Good For The Heart

Another Study Suggests Viagra Is Good For The Heart

Newsy (Oct. 20, 2014) An ingredient in erectile-dysfunction medications such as Viagra could improve heart function. Perhaps not surprising, given Viagra's history. Video provided by Newsy
Powered by NewsLook.com
Ebola Worries End for Dozens on U.S. Watch Lists

Ebola Worries End for Dozens on U.S. Watch Lists

Reuters - US Online Video (Oct. 20, 2014) Forty-three people who had contact with Thomas Eric Duncan, the first person diagnosed with Ebola in the U.S., were cleared overnight of twice-daily monitoring after 21 days of showing no symptoms. Rough Cut (no reporter narration). Video provided by Reuters
Powered by NewsLook.com
Beijing Marathon Runners Brave Hazardous Air Pollution

Beijing Marathon Runners Brave Hazardous Air Pollution

AFP (Oct. 19, 2014) Tens of thousands of runners battled thick smog at the Beijing Marathon on Sunday, with some donning masks as the levels of PM2.5 small pollutant particles soared to 16 times the maximum recommended level. Duration: 00:54 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins