title: Who uses hospital emergency rooms?: evidence from Houston/Harris County Texas.
abstract: One of the factors thought to be causing hospital emergency room (ER) crowding is excessive use of the ER by the uninsured, who may lack access to other sources of care. This is a particular concern in Texas. We completed a survey in Houston/Harris County, Texas, addressing whether the uninsured are high users of the ER, and the role of financial concerns in choosing a venue for care. We found no evidence that the uninsured were higher users of the ER. Financial and insurance concerns discouraged ER use. Emergency room use was higher for Black/Non-Hispanics and those with a new medical condition. The findings provide support for ER diversion strategies that focus on providing high quality primary care and urgent care center alternatives to the ER, particularly in the Black/ Non-Hispanic community.
authors.affiliation: Management, Policy, and Community Health, UT School of Public Health, University of Texas Health Science Center, Houston, TX 77030, USA. Charles.E.Begley@uth.tmc.edu
authors.forename: Charles E
authors.initials: CE
authors.lastname: Begley
authors.forename: Pamela
authors.initials: P
authors.lastname: Behan
authors.forename: Munseok
authors.initials: M
authors.lastname: Seo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D044383:Black People / Q000706:statistics & numerical data; D002648:Child; D002675:Child, Preschool; D002755:Choice Behavior; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital / Q000191:economics / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006297:Health Services Accessibility; D006801:Humans; D007223:Infant; D008297:Male; D017057:Medically Uninsured / Q000208:ethnology / Q000706:statistics & numerical data*; D008875:Middle Aged; D008960:Models, Psychological; D013781:Texas; D014505:Urban Population; D044465:White People / Q000706:statistics & numerical data; D055815:Young Adult; D001741:Black or African American