A state funded community health center: Influence on emergency room use, avoidable hospitalizations and hospital expenses

2.50
Hdl Handle:
http://hdl.handle.net/10755/159409
Type:
Presentation
Title:
A state funded community health center: Influence on emergency room use, avoidable hospitalizations and hospital expenses
Abstract:
A state funded community health center: Influence on emergency room use, avoidable hospitalizations and hospital expenses
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2003
Author:Smith-Campbell, Betty
Contact Address:SON, Wichita, KS, 67260-0041, USA
Purpose: Access to health care has been and continues to be a problem in the United States. Although increasing, there remains a dearth of research on the effectiveness of Community Health Centers (CHC) for the uninsured and underinsured. Nurses often provide the majority of care at CHCs. The purpose of this study was to determine whether one CHC influenced access to health care for the uninsured and the CHCs influence on finances at the local hospital. Theoretical framework: The Aday Access Framework (1980) guided this descriptive study. The framework hypothesizes that policy may affect directly the health care system and the system, in turn, may affect utilization patterns and cost. Previously Smith-Campbell (2000) found that one CHC decreased uninsured ED visits by almost 40%. Method: A cost-analysis was conducted on the influence a CHC had on one Midwestern hospital’s charity care. Data was collected from hospital and community health center records. This study also measured continued ED utilization patterns by insurance status. Results: Preliminary analysis show that the percent of ED visits by the uninsured remain lower than ED visits by the uninsured prior to initiation of state funding for the community health center. Over $250,000 was spent on avoidable hospitalizations for patients using hospital charity care dollars. Over 50% of these dollars were for individuals with some type of insurance. Final analysis of the data will be completed by December 2002. Conclusions: Research studies, such as this, have the potential to influence policies that affect availability and affordability of health care services. AN: MN030067
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA state funded community health center: Influence on emergency room use, avoidable hospitalizations and hospital expensesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159409-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A state funded community health center: Influence on emergency room use, avoidable hospitalizations and hospital expenses </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Smith-Campbell, Betty</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">SON, Wichita, KS, 67260-0041, USA</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Access to health care has been and continues to be a problem in the United States. Although increasing, there remains a dearth of research on the effectiveness of Community Health Centers (CHC) for the uninsured and underinsured. Nurses often provide the majority of care at CHCs. The purpose of this study was to determine whether one CHC influenced access to health care for the uninsured and the CHCs influence on finances at the local hospital. Theoretical framework: The Aday Access Framework (1980) guided this descriptive study. The framework hypothesizes that policy may affect directly the health care system and the system, in turn, may affect utilization patterns and cost. Previously Smith-Campbell (2000) found that one CHC decreased uninsured ED visits by almost 40%. Method: A cost-analysis was conducted on the influence a CHC had on one Midwestern hospital&rsquo;s charity care. Data was collected from hospital and community health center records. This study also measured continued ED utilization patterns by insurance status. Results: Preliminary analysis show that the percent of ED visits by the uninsured remain lower than ED visits by the uninsured prior to initiation of state funding for the community health center. Over $250,000 was spent on avoidable hospitalizations for patients using hospital charity care dollars. Over 50% of these dollars were for individuals with some type of insurance. Final analysis of the data will be completed by December 2002. Conclusions: Research studies, such as this, have the potential to influence policies that affect availability and affordability of health care services. AN: MN030067 </td></tr></table>en_GB
dc.date.available2011-10-26T21:59:16Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:59:16Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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