Evaluation of access, a primary care program for indigent patients: inpatient and emergency room utilization.
作者： Richard A. Davidson , Angela Giancola , Andrea Gast , Janice Ho , Rhondda Waddell
关键词: Health care 、 Retrospective cohort study 、 Medical emergency 、 Primary care 、 Emergency medicine 、 Outpatient visits 、 Ambulatory care 、 Indigent care 、 Medicine 、 Medical services 、 Emergency medical services
摘要: We analyzed the impact of a program that provides indigent patients with free primary care on inpatient admissions, emergency room (ER) visits, and resulting charges in 91 before after admittance into program. There was decrease ER visits enrolling (1.89 versus 0.83 per year; p < 0.0001). This difference translated mean $1174 vs. $717 (p = 0.0007), $41,587 year. The for (outpatient laboratory) were $23,141. Entry had no effect which averaged 0.07 admissions year both admission to Indigent enrolled complimentary significantly decreased per-year utilization rates charges. admissions. By conservative estimate, by approximately $18,000 secondary utilization.
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