User Characteristics of a Low-Acuity Emergency Department Alternative for Low-Income Patients

Overview

Journal West J Emerg Med

Specialty Emergency Medicine

Date 2020 Nov 18

PMID 33207162

Citations 2

Authors

Sara W Heinert

Melody Mumford

Sarah E Kim

Muhammad M Hossain

Michael L Amashta

Maria A Massey

Affiliations

Soon will be listed here.

Abstract

Introduction: Emergency department (ED) use for healthcare that can be treated elsewhere is costly to the healthcare system. However, convenience settings such as urgent care centers (UCC) are generally inaccessible to low-income patients. Housing an UCC within a federally qualified health center (FQHC UCC) provides an accessible convenience setting for low-income patients. In 2014 a FQHC UCC opened two blocks from an ED in the same health system. Our goal was to compare characteristics, access to care, and utilization preferences for FQHC UCC and low-acuity ED patients through retrospective chart review and prospective surveying.

Methods: We completed a retrospective chart review of all patients from March 1, 2018-March 1, 2019, and compared characteristics of low-acuity ED patients (N = 3,911) and FQHC UCC patients (N = 12,571). We also surveyed FQHC UCC patients (N = 201) and low-acuity ED patients (N = 198) from January-July 2019.

Results: Half of FQHC UCC patients had private insurance. Of ED patients, 29% were aware of the FQHC UCC. Both groups had similar rates of primary care providers. The most common reason for choosing the ED was perceived severity, and for choosing a FQHC UCC was speed.

Conclusion: These findings show similarities and differences between these two patient populations. Future research is needed to determine utilization patterns and in-depth reasons behind them. Interventions that help patients decide where to go for low-acuity care may create more utilization efficiency.

Citing Articles

Strength in the gap: A rapid review of principles and practices for urgent care centres.

Benjamin P, Bryce R, Oyedokun T, Stempien J Healthc Manage Forum. 2022; 36(2):101-106.

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Portrait of the Emergency Department at Orotta National Referral and Teaching Hospital in Asmara, Eritrea: A Prospective Observational Study.

Mengistu S, Achila O, Negash S, Tesfaldet Y, Tewolde N, Yohannes N Open Access Emerg Med. 2022; 14:195-215.

PMID: 35509433 PMC: 9059985. DOI: 10.2147/OAEM.S352638.

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