title: Pilot study of ER utilization at Tulsa hospitals.
abstract: BACKGROUND
  The Tulsa Community Access Program (TCAP) project has been developed to address the health care needs of the uninsured and underinsured population in the Tulsa MSA. One of the objectives is the development of a 24/7 Care Center.
  
  
  OBJECTIVE
  To complete a pilot study on patient demographics and utilization patterns in the Emergency Room (ER) to determine if a 24/7 clinic is needed or would be used as an alternative site for treatment.
  
  
  METHODS
  A survey was randomly administered to ER clients from March 2003 to April 2003 and included 45 open-ended, closed-ended, and Likert scale questions. Acuity level of care was verified by a hospital professional.
  
  
  METHODS
  Hillcrest Medical Center, Tulsa, provides a significant amount of indigent care; four time periods were picked for peak and varied ER usage.
  
  
  METHODS
  200 ER clients, 50 per time period; survey administration and data analysis were done by University of Oklahoma-Tulsa graduate students.
  
  
  METHODS
  Prior assumptions: uninsured/underinsured use the ER for primary care; demographics of the ER client are low income/unemployed, low education; majority of ER clients are non-urgent/non-emergency and would use a 24/7 clinic.
  
  
  RESULTS
  56% have used ER 1-2 times in past year; 89% of cases were non-urgent/non-emergency; 46% graduated high school; 48% work full-time; 42% have family income 15,000 dollars or less; 76.5% favor an after hours primary care clinic.
  
  
  CONCLUSIONS
  This survey is an important tool to determine the needs and patterns of ER utilization; there is a need for a 24/7 clinic and it would be used by the target population.
authors.affiliation: University of Oklahoma-Tulsa College of Public Health, Health Administration and Policy, 74135, USA. Natalie-Ehrlich@ouhsc.edu
authors.forename: Natalie J
authors.initials: NJ
authors.lastname: Ehrlich
authors.forename: Farzana
authors.initials: F
authors.lastname: Tasmin
authors.forename: Haytham
authors.initials: H
authors.lastname: Safi
authors.forename: Jonathan
authors.initials: J
authors.lastname: Barnett
authors.forename: Barbara
authors.initials: B
authors.lastname: Lasley
mesh_terms: D000328:Adult; D002648:Child; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007348:Insurance, Health; D008297:Male; D009825:Oklahoma; D010865:Pilot Projects; D011795:Surveys and Questionnaires; D017664:Uncompensated Care