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Emergency Room (ER) Referrals and Health Insurance in the United States

机译:美国的急诊室 (ER) 转诊和健康保险

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This article aims to determine how various health insurance policies affect the rate of emergency room (ER) referrals in the United States. The secondary data, gathered in National Health Measurement Study (NHMS) in 2008 and 2010, was used. The authors identify the relationships between health insurance and ER referrals by using zero-inflated binomial and zero-inflated Poisson regression. About 17% (2008) and 20% (2010) of the respondents had one or more ER referrals in the 2 years; those who were under coverage of governmental health insurance are more likely to refer ER than uninsured group. The differences in ER referrals that ended with hospital admission across different insurance policies are not significant. Health insurance is a remarkable factor in ER referrals; the coverage of health insurance plans can affect consuming the services provided in ER. Governmental insurance plans can increase ER referrals.
机译:本文旨在确定各种健康保险政策如何影响美国急诊室 (ER) 转诊率。使用了 2008 年和 2010 年在国家健康测量研究 (NHMS) 中收集的二手数据。作者通过使用零膨胀二项式和零膨胀泊松回归来确定健康保险和急诊室转诊之间的关系。约17%(2008年)及20%(2010年)的受访者在两年内曾转诊过一次或多次急诊室;那些在政府健康保险范围内的人比没有保险的群体更有可能转诊急诊室。不同保险单中以入院告终的急诊转诊差异并不显著。健康保险是急诊室转诊的一个重要因素;健康保险计划的承保范围可能会影响急诊室提供的服务的消费,政府保险计划可以增加急诊室的转诊。

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