Bhatnagar Vikrant, Diaz Sebastian R, Moffatt-Bruce Susan D
Family Medicine, Ohio University Heritage College of Osteopathic Medicine, Athens, USA.
Surgery, The Ohio State University Medical Center, Columbus, USA.
Cureus. 2018 Dec 31;10(12):e3798. doi: 10.7759/cureus.3798.
Medicaid expansion's impact has been studied on national and statewide levels with respect to the patient outcomes, access to health services and uncompensated care. The objective of this study was to examine the effect of the Medicaid expansion on an emergency department (ED) at a large, academic center by evaluating changes in total charges, services rendered, types of providers, number of visits, and length of stay. Findings from this study include more males frequenting the ED for health services and a bottleneck in operations with an average waiting time in the ED increasing by 17%. Additionally, Medicaid recipients required non-emergent services that could be delivered by primary care providers, albeit at the ED, with average total charges for Emergency Medicine services seeing a statistically significant reduction with increases in average total charges for Family Medicine. While Medicaid expansion provided more individuals with coverage, a large academic medical center adapted in concordance.
关于医疗补助扩大计划在患者治疗结果、医疗服务可及性和无偿医疗方面的影响，已在国家和州层面进行了研究。本研究的目的是通过评估总费用、提供的服务、医疗服务提供者类型、就诊次数和住院时间的变化，来考察医疗补助扩大计划对一家大型学术中心急诊科的影响。该研究的结果包括，更多男性因医疗服务前往急诊科，运营出现瓶颈，急诊科平均等待时间增加了17%。此外，医疗补助受助人需要初级保健提供者提供的非紧急服务，尽管是在急诊科，随着家庭医学平均总费用的增加，急诊医学服务的平均总费用出现了统计学上的显著下降。虽然医疗补助扩大计划为更多人提供了医保覆盖，但一家大型学术医疗中心也相应进行了调整。
