• Health affairs · Jan 2004

    Emergency department capacity and access in California, 1990-2001: an economic analysis.

    • Glenn A Melnick, Amar C Nawathe, Anil Bamezai, and Lois Green.
    • School of Policy, Planning, and Development, University of Southern California, USA. king@rand.org
    • Health Aff (Millwood). 2004 Jan 1; Suppl Web Exclusives: W4-136-42.

    AbstractMedia report that hospitals are closing their emergency departments (EDs) and reducing access to ED services, raising concerns that EDs are not sustainable under competition and managed care. We analyzed financial, economic, capacity, and utilization data for California EDs for 1990-2001. We found that contrary to media reports, hospitals are not abandoning the ED market. Rather, our results show a robust market, where hospitals are adding ED capacity to meet increased demand and to maintain access. Supporting economic analyses show that EDs are sustainable since they generate a sizable and growing portion of inpatient admissions, which contribute to overall economic viability.

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