Owning the Cost of Emergency Medicine: Beyond 2%

作者: Michael H. Lee , Jeremiah D. Schuur , Brian J. Zink

DOI: 10.1016/J.ANNEMERGMED.2013.03.029

关键词: National dataEconomic modelMedical emergencyMEDLINENational healthEmergency medicineResource-based relative value scaleAggregate expenditureEmergency medical servicesCost accountingMedicine

摘要: This article evaluates current evidence on the cost of emergency care. First, we reviewed data from national sets and found that aggregate spending care is 5% to 6% health expenditures but could be as high 10%. These figures are significantly higher than those previously published. Second, literature economic models results inconclusive incomplete. As an alternative, discussed activity-based accounting concluded it a promising research methodology for medicine. We conclude by advocating strategy demonstrate value strategic importance medicine rather minimizing its role in costs.

参考文章(34)
Megan McHugh, Mark McClelland, Kevin VanDyke, Dina Moss, Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals ,(2012)
Esther Hing, Farida Bhuiya, Wait time for treatment in hospital emergency departments: 2009. NCHS data brief. pp. 1- 8 ,(2012)
Jeremiah D. Schuur, Christopher W. Baugh, Erik P. Hess, Joshua A. Hilton, Jesse M. Pines, Brent R. Asplin, Critical Pathways for Post-Emergency Outpatient Diagnosis and Treatment: Tools to Improve the Value of Emergency Care Academic Emergency Medicine. ,vol. 18, pp. e52- e63 ,(2011) , 10.1111/J.1553-2712.2011.01096.X
Thomas W. Grannemann, Randall S. Brown, Mark V. Pauly, Estimating hospital costs. A multiple-output analysis. Journal of Health Economics. ,vol. 5, pp. 107- 127 ,(1986) , 10.1016/0167-6296(86)90001-9
Robert S Kaplan, Michael E Porter, How to solve the cost crisis in health care. Harvard Business Review. ,vol. 89, pp. 46- ,(2011)
Pamela L. Owens, Marguerite L. Barrett, Teresa B. Gibson, Roxanne M. Andrews, Robin M. Weinick, Ryan L. Mutter, Emergency Department Care in the United States: A Profile of National Data Sources Annals of Emergency Medicine. ,vol. 56, pp. 150- 165 ,(2010) , 10.1016/J.ANNEMERGMED.2009.11.022
Jennifer L. Wiler, Dennis Beck, Brent R. Asplin, Michael Granovsky, John Moorhead, Randy Pilgrim, Jeremiah D. Schuur, Episodes of Care: Is Emergency Medicine Ready? Annals of Emergency Medicine. ,vol. 59, pp. 351- 357 ,(2012) , 10.1016/J.ANNEMERGMED.2011.08.020
Swati Kumar, Eslam Osman, Jonathan A. J. Deans, John Scally, Nasal polyposis: unusual indication for tracheostomy. Journal of Laryngology and Otology. ,vol. 118, pp. 305- 306 ,(2004) , 10.1258/002221504323012085
Samuel H. Zuvekas, Gary L. Olin, Accuracy of Medicare expenditures in the medical expenditure panel survey. Inquiry. ,vol. 46, pp. 92- 108 ,(2009) , 10.5034/INQUIRYJRNL_46.01.92