The 2010 Patient Protection and Affordable Care Act (ACA) served as a conduit for many previously uninsured U.S. citizens to obtain health insurance; however, insurance does not necessarily equate to timely access to care. A 2015 study found that efforts by policymakers and health insurance plans to drive Medicaid patients out of emergency departments (ED) and into primary care clinics are not ...

BACKGROUND Older people resident in care homes have a limited life expectancy and approximately two-thirds have limited mental capacity. Despite initiatives to reduce unplanned hospital admissions for this population, little is known about the involvement of emergency services in supporting residents in these settings. METHODS This paper reports on a longitudinal study that tracked the involv...

Surprisingly, the way in which pre-hospital emergency care is delivered varies greatly internationally. Two contrasting models can be identified: one physician-led, the other with direct or indirect medical supervision. The development of pre-hospital care in Ireland has been convoluted and stunted. However, in less than a decade, the Irish emergency medical services have evolved significantly....

PURPOSE OF REVIEW Pediatric emergency care internationally is practiced in a wide variety of local contexts, and the quality of care varies. International pediatric emergency medicine refers to the spectrum of care provided to children with serious illnesses and injuries globally. This article serves as the first of its kind to characterize current trends and challenges in this area. RECENT F...

In the United States and around the world, effective, efficient, and reliable strategies to provide emergency care to aging adults is challenging crowded emergency departments (EDs) and a strained health care system. In response, geriatric emergency medicine (EM) clinicians, educators, and researchers collaborated with the American College of Emergency Physicians (ACEP), American Geriatrics Soc...

Tele-emergency services provide immediate and synchronous audio/video connections, most commonly between rural low-volume hospitals and an urban "hub" emergency department. We performed a systematic literature review to identify tele-emergency models and outcomes. We then studied a large tele-emergency service in the upper Midwest. We sent a user survey to all seventy-one hospitals that used th...

CONTEXT Emergency department utilization by chronically ill older adults may be an important sentinel event signifying a breakdown in care coordination. A primary care group visit (i.e., several patients meeting together with the provider at the same time) may reduce fragmentation of care and subsequent emergency department utilization. OBJECTIVE To determine whether primary care group visits...

Emergency center visits are mostly unscheduled, undifferentiated, and unpredictable. A standardized triage process is an opportunity to obtain real-time data that paints a picture of the variation in acuity found in emergency centers. This is particularly pertinent as the influx of people seeking asylum or in transit mostly present with emergency care needs or first seek help at an emergency ce...

introduction: one of the important aspects in high quality health care system is delivering health services in an appropriate way which can lead to development of the systems. patient satisfaction is a quality indicator that has the potential to provide valuable information about the care delivered by an emergency medical services system (ems). this indicator is considered as an important marke...