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Racial/ethnic and payer differences ...

The University of North Carolina at Charlotte., Health Services Research (PhD).

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Racial/ethnic and payer differences in the timeliness of emergency care in U.S. emergency departments: Can we legislate equity?

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Racial/ethnic and payer differences in the timeliness of emergency care in U.S. emergency departments: Can we legislate equity?/
Author:	Johnston, Valerie Rowell.
Description:	142 p.
Notes:	Adviser: James Studnicki.
Contained By:	Dissertation Abstracts International69-09B.
Subject:	Health Sciences, Epidemiology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoeng/servlet/advanced?query=3320936
ISBN:	9780549749509

Racial/ethnic and payer differences in the timeliness of emergency care in U.S. emergency departments: Can we legislate equity?
Johnston, Valerie Rowell.

Racial/ethnic and payer differences in the timeliness of emergency care in U.S. emergency departments: Can we legislate equity? - 142 p.

Adviser: James Studnicki.

Thesis (Ph.D.)--The University of North Carolina at Charlotte, 2008.

Enacted in 1986, the Emergency Medical Treatment and Active Labor Act (EMTALA) prohibits discrimination in access to emergency care based on race, ethnicity, or ability to pay. Using data from the 2003-2004 National Hospital Ambulatory Medical Care Survey, this study investigates whether there are racial/ethnic or payer differences in the timeliness of emergency care in a nationally representative sample of the general adult population in the U.S.

ISBN: 9780549749509Subjects--Topical Terms:

1019544
Health Sciences, Epidemiology.

Racial/ethnic and payer differences in the timeliness of emergency care in U.S. emergency departments: Can we legislate equity?
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020 $a 9780549749509
035 $a (UMI)AAI3320936
035 $a AAI3320936
040 $a UMI $c UMI
100 1 $a Johnston, Valerie Rowell. $3 1023561
245 1 0 $a Racial/ethnic and payer differences in the timeliness of emergency care in U.S. emergency departments: Can we legislate equity?
300 $a 142 p.
500 $a Adviser: James Studnicki.
500 $a Source: Dissertation Abstracts International, Volume: 69-09, Section: B, page: 5302.
502 $a Thesis (Ph.D.)--The University of North Carolina at Charlotte, 2008.
520 $a Enacted in 1986, the Emergency Medical Treatment and Active Labor Act (EMTALA) prohibits discrimination in access to emergency care based on race, ethnicity, or ability to pay. Using data from the 2003-2004 National Hospital Ambulatory Medical Care Survey, this study investigates whether there are racial/ethnic or payer differences in the timeliness of emergency care in a nationally representative sample of the general adult population in the U.S.
520 $a I consider three dichotomous outcomes: whether a patient waited for more than 60 minutes to see a physician, whether a patient required continuing hospital care and whether a patient was transferred given that continuing hospital care was required. I conduct logistic regressions for each outcome, controlling for demographic factors, patient severity upon presentation and emergency department demand fluctuations. I further control for hospital fixed effects to estimate racial/ethnic and payer differences within hospitals.
520 $a Results of the adjusted analysis indicate that there are, within the same hospital, racial/ethnic and payer differences in the timeliness of emergency care. Clinical uncertainty influences the magnitude and significance of the observed differences and the differences arise primarily due to patients being treated differently within the same hospital rather than to patients being seen at different hospitals. Study findings suggest that the policy intent of EMTALA is not being met.
590 $a School code: 0694.
650 4 $a Health Sciences, Epidemiology. $3 1019544
650 4 $a Health Sciences, General. $3 1017817
650 4 $a Health Sciences, Health Care Management. $3 1017922
690 $a 0566
690 $a 0766
690 $a 0769
710 2 $a The University of North Carolina at Charlotte. $b Health Services Research (PhD). $3 1023560
773 0 $t Dissertation Abstracts International $g 69-09B.
790 $a 0694
790 1 0 $a Bao, Yuhua $e committee member
790 1 0 $a Brandon, William $e committee member
790 1 0 $a Dmochowski, Jacek $e committee member
790 1 0 $a Rassel, Gary $e committee member
790 1 0 $a Studnicki, James, $e advisor
791 $a Ph.D.
792 $a 2008
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoeng/servlet/advanced?query=3320936