Health Care Reform and Emergency Medicine

See related editorial, "Health Care Reform or a Return to Social Darwinism?" The twin goals of health care reform—providing universal coverage and limiting health care costs—will require increased primary care access and reductions in the overuse of inappropriate subspecialty interventions...

Full description

Saved in:
Bibliographic Details
Published in:Annals of emergency medicine 1995-05, Vol.25 (5), p.666-674
Main Authors: Young, Gary P, Sklar, David
Format: Article
Language:English
Subjects:
Biological and medical sciences
Cost Control
Emergency Medicine - education
Emergency Medicine - trends
Emergency Service, Hospital - statistics & numerical data
Emergency Service, Hospital - trends
General aspects
Health Care Reform - organization & administration
Health Services Accessibility
Health systems. Social services
Humans
Medical sciences
Organizational Innovation
Primary Health Care - organization & administration
Public health. Hygiene
Public health. Hygiene-occupational medicine
Reimbursement Mechanisms
United States
Workforce
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:See related editorial, "Health Care Reform or a Return to Social Darwinism?" The twin goals of health care reform—providing universal coverage and limiting health care costs—will require increased primary care access and reductions in the overuse of inappropriate subspecialty interventions. The emergency department provides acute care access for all patients and nonemergency care for t hose patients unable to find other sources of care. Implementation of marketplace reforms may direct patients away from EDs to other primary care sites and reallocate residency positions now available for training of emergency physicians to other primary care specialties. These two effects may endanger the viability of the ED as the safety net of the health care system. The impact of health care reform on the emergency care system of the nation requires careful analysis to protect the important role of the ED in providing acute care and in guaranteeing access to care. [Young GP, Sklar D: Health care reform and emergency medicine. Ann Emerg Med May 1995;25:666-674.]
ISSN:0196-0644
1097-6760
DOI:10.1016/S0196-0644(95)70182-6