State Regulation Of Freestanding Emergency Departments Varies Widely, Affecting Location, Growth, And Services Provided.
Health Aff (Millwood)
; 35(10): 1857-1866, 2016 10 01.
Article
en En
| MEDLINE
| ID: mdl-27702960
ABSTRACT
Freestanding emergency departments (EDs), which offer emergency medical care at sites separate from hospitals, are a rapidly growing alternative to traditional hospital-based EDs. We evaluated state regulations of freestanding EDs and describe their effect on the EDs' location, staffing, and services. As of December 2015, thirty-two states collectively had 400 freestanding EDs. Twenty-one states had regulations that allowed freestanding EDs, and twenty-nine states did not have regulations that applied specifically to such EDs (one state had hospital regulations that precluded them). State policies regarding freestanding EDs varied widely, with no standard requirements for location, staffing patterns, or clinical capabilities. States requiring freestanding EDs to have a certificate of need had fewer of such EDs per capita than states without such a requirement. For patients to better understand the capabilities and costs of freestanding EDs and to be able to choose the most appropriate site of emergency care, consistent state regulation of freestanding EDs is needed.
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Banco de datos:
MEDLINE
Asunto principal:
Regulación Gubernamental
/
Servicios Médicos de Urgencia
/
Servicio de Urgencia en Hospital
/
Instituciones de Atención Ambulatoria
Tipo de estudio:
Health_economic_evaluation
Límite:
Humans
País como asunto:
America do norte
Idioma:
En
Año:
2016
Tipo del documento:
Article