Dissertation/Thesis Abstract

Emergency department utilization among Medicare enrollees: A project report
by Ramos, Edwin, M.H.A., California State University, Long Beach, 2013, 51; 1527337
Abstract (Summary)

The purpose of this study was to examine the occurrence of emergency department (ED) utilization among Medicare enrollees by examining demographic characteristics. This study employed secondary data analysis using the 2009 National Hospital Ambulatory Medical Care Survey (NHAMCS). There were 35,490 patient records, of which 4,899 were Medicare recipients.

Chi-square analysis results yielded several findings of significant associations between the ED utilization and the gender, age, race, and diagnosis. The five chronic conditions such as stroke, congestive heart failure, condition requiring dialysis, HIV, and diabetes were taken into consideration and showed strong associations with ED utilization. In addition, it is imperative to look into the underlying causes that resulted in the higher percentage of female utilizing ED compared to men.

This study examined factors associated with increase of health service utilization for Medicare enrollees. Factors such as race, ethnicity, insurance status, and previous usage of the emergency department were analyzed. This study sought to answer the differences among different age groups, gender groups, racial groups and insurance status groups in terms of health service utilization. In addition, the study highlighted the varying degrees of medical demands of patients of different race and ethnicity in order to provide more tailored medical services to such patients.

Indexing (document details)
Advisor: Acosta-Deprez, Veronica
Commitee:
School: California State University, Long Beach
School Location: United States -- California
Source: MAI 52/05M(E), Masters Abstracts International
Source Type: DISSERTATION
Subjects: Public Health Education, Public health, Health care management
Keywords: Diagnosis, Emergency Department, Medicare, Race, Utilization
Publication Number: 1527337
ISBN: 9781303766121
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