Estimating uncompensated care charges at rural hospital emergency departments.
作者： Kevin J. Bennett , Charity G. Moore , Janice C. Probst
DOI: 10.1111/J.1748-0361.2007.00099.X
关键词:
摘要: ABSTRACT: Context: Rural hospitals face multiple financial burdens. Due to federal law, emergency departments (ED) provide a gateway for uninsured and self-pay patients gain access treatment. It is unknown how much uncompensated care in rural due ED visits.Purpose: To develop national estimate of from utilizing the hospitals.Methods: Clinical data National Hospital Ambulatory Medical Care Survey-ED (NHAMCS-ED) 1999 2000 were linked billing South Carolina. estimates utilization charges calculated, with rurality status being variables focus.Findings: Applying Carolina clinical yields 1999-2000 nearly $441 billion generated through departments, representing 9.0% total charges. accounted an estimated $3.5 $5.3 2000. These may represent burden more than $4 hospitals.Conclusions: Efforts should be made reduce on ensure their viability. efforts include Medicaid/SCHIP expansions, FQHCs or RHCs, Critical Access Designation, other indigent programs that would need utilize EDs.
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