Emergency department use by the rural elderly

Published: April 1, 2000
Category: Bibliography > Papers
Authors: Baldwin LM, Hart LG, Lishner DM, Rosenblatt RA
Countries: United States
Language: null
Types: Care Management
Settings: Hospital

J Emerg Med 18:289-297.

Department of Family Medicine, University of Washington, Seattle, WA, USA

This study uses Medicare data to compare emergency department (ED) use by rural and urban elderly beneficiaries. The U.S. Health Care Financing Administration’s National Claims File was used to identify services provided to Medicare beneficiaries in Washington State in 1994. Patients were classified by urban, adjacent rural, or remote rural residence. We identified ED visits and associated diagnostic codes, assigned severity levels for presenting conditions, and determined the specialties of physicians providing ED services. The rural elderly living in remote areas are 13% less likely to visit the ED than their urban counterparts. Causes of ED use by the elderly do not vary meaningfully by location. Most ED visits by this group are for conditions that seem appropriate for this setting. Given the similarity of diagnostic conditions associated with ED visits, rural EDs must be capable of dealing with the same range of emergency conditions as urban EDs.

PMID: 10729665

Medical Conditions,Practice Patterns Comparison,Resource Use,United States,Aged,80 and over,Emergency Service,Hospital/manpower,Gender,Health Services for the Aged/Standards,Health Services for the Aged/trends,Logistic Models,Gender,Medicare/statistics & numerical data,Population Surveillance,Registries,Urban Population,Washington

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