ED Manag. 2004 Aug;16(8):85-7.
Uninsured and underinsured patients are a growing challenge for EDs, but requirements for the Emergency Medical Treatment and Labor Act (EMTALA) are simple and clear-cut. EMTALA's jurisdiction ends when emergency treatment is completed or it is determined that no emergency exists. Admission is only covered by EMTALA when it is required to stabilize the patient. The ability or inability of a patient to pay should not be known nor requested in the ED.
未参保和参保不足的患者给急诊科带来了日益严峻的挑战,但《紧急医疗救治与劳动法案》(EMTALA)的要求简单明了。当紧急治疗完成或确定不存在紧急情况时,EMTALA的管辖权即告终止。只有在需要稳定患者病情时,EMTALA才涵盖住院治疗。在急诊科不应了解或询问患者是否有支付能力。