Does What Happens in the ED Stay in the ED? The Effects of Emergency Department Physician Workload on Post-ED Care Use

ABSTRACT:

Problem definition:

Emergency department (ED) crowding has been a pressing concern in healthcare systems in the U.S. and other developed countries. As such, many researchers have studied its effects on outcomes within the ED. In contrast, we study the effects of ED crowding on system performance outside the ED–specifically, on post-ED care utilization. Further, we explore the mediating effects of care intensity in the ED on post-ED care use.

Methodology/results:

We utilize a dataset assembled from more than four years of microdata from a large U.S. hospital and exhaustive billing data in an integrated health system. By using count models and instrumental variable analyses to answer the proposed research questions, we find that there is an increasing concave relationship b

SUBMITTER:  

PROVIDER: S-EPMC9707701 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature