This study uses Medicare data to compare emergency department (ED) use by rural and urban elderly beneficiaries. The U.S. Health Care Financing Administration’s National Claims File was used to identify services provided to Medicare beneficiaries in Washington State in 1994. Patients were classified by urban, adjacent rural, or remote rural residence. We identified ED visits and associated diagnostic codes, assigned severity levels for presenting conditions, and determined the specialties of physicians providing ED services. The rural elderly living in remote areas are 13% less likely to visit the ED than their urban counterparts. Causes of ED use by the elderly do not vary meaningfully by location. Most ED visits by this group are for conditions that seem appropriate for this setting. Given the similarity of diagnostic conditions associated with ED visits, rural EDs must be capable of dealing with the same range of emergency conditions as urban EDs.
Authors:Lishner DM, Rosenblatt RA, Baldwin LM, Hart LG
Journal/Publisher:J Emerg Med
Edition:Apr 2000. 18(3):289-297
Link to ArticleAccess the article here: J Emerg Med
Citation:Lishner DM, Rosenblatt RA, Baldwin LM, Hart LG. Emergency Department Use By The Rural Elderly. J Emerg Med. Apr 2000 18(3):289-297
Related Studies:The Emergency Care of the Rural Elderly