National trends in emergency department closures, mergers, and utilization, 2005-2015.

<h4>Study objectives</h4>To describe nationwide hospital-based emergency department (ED) closures and mergers, as well as the utilization of emergency departments and inpatient beds, over time and across varying geographic areas in the United States.<h4>Methods</h4>Observatio...

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Autores principales:	Arjun K Venkatesh, Alexander Janke, Craig Rothenberg, Edwin Chan, Robert D Becher
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a8d2159dd45a45bebb57014dc4cf5089
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spelling	oai:doaj.org-article:a8d2159dd45a45bebb57014dc4cf50892021-11-25T06:19:04ZNational trends in emergency department closures, mergers, and utilization, 2005-2015.1932-620310.1371/journal.pone.0251729https://doaj.org/article/a8d2159dd45a45bebb57014dc4cf50892021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251729https://doaj.org/toc/1932-6203<h4>Study objectives</h4>To describe nationwide hospital-based emergency department (ED) closures and mergers, as well as the utilization of emergency departments and inpatient beds, over time and across varying geographic areas in the United States.<h4>Methods</h4>Observational analysis of the American Hospital Association (AHA) Annual Survey from 2005 to 2015. Primary outcomes were hospital-based ED closure and merger. Secondary outcomes were yearly ED visits per hospital-based ED and yearly hospital admissions per hospital bed.<h4>Results</h4>The total number of hospital-based EDs decreased from 4,500 in 2005 to 4,460 in 2015, with 200 closures, 138 mergers, and 160 new hospital-based EDs. While yearly ED visits per hospital-based ED exhibited a 28.6% relative increase (from 25,083 to 32,248), yearly hospital admissions per hospital bed had a 3.3% relative increase (from 45.4 to 43.9) from 2005 to 2015. The number of hospital admissions and hospital beds did not change significantly in urban areas and declined in rural areas. ED visits grew more uniformly across urban and rural areas.<h4>Conclusions</h4>The number of hospital-based ED closures is small when accounting for mergers, but occurs as many more patients are presenting to a stable number of EDs in larger health systems, though rural areas may differentially affected. EDs were managing accelerating patient volumes alongside stagnant inpatient bed capacity.Arjun K VenkateshAlexander JankeCraig RothenbergEdwin ChanRobert D BecherPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251729 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Arjun K Venkatesh Alexander Janke Craig Rothenberg Edwin Chan Robert D Becher National trends in emergency department closures, mergers, and utilization, 2005-2015.
description	<h4>Study objectives</h4>To describe nationwide hospital-based emergency department (ED) closures and mergers, as well as the utilization of emergency departments and inpatient beds, over time and across varying geographic areas in the United States.<h4>Methods</h4>Observational analysis of the American Hospital Association (AHA) Annual Survey from 2005 to 2015. Primary outcomes were hospital-based ED closure and merger. Secondary outcomes were yearly ED visits per hospital-based ED and yearly hospital admissions per hospital bed.<h4>Results</h4>The total number of hospital-based EDs decreased from 4,500 in 2005 to 4,460 in 2015, with 200 closures, 138 mergers, and 160 new hospital-based EDs. While yearly ED visits per hospital-based ED exhibited a 28.6% relative increase (from 25,083 to 32,248), yearly hospital admissions per hospital bed had a 3.3% relative increase (from 45.4 to 43.9) from 2005 to 2015. The number of hospital admissions and hospital beds did not change significantly in urban areas and declined in rural areas. ED visits grew more uniformly across urban and rural areas.<h4>Conclusions</h4>The number of hospital-based ED closures is small when accounting for mergers, but occurs as many more patients are presenting to a stable number of EDs in larger health systems, though rural areas may differentially affected. EDs were managing accelerating patient volumes alongside stagnant inpatient bed capacity.
format	article
author	Arjun K Venkatesh Alexander Janke Craig Rothenberg Edwin Chan Robert D Becher
author_facet	Arjun K Venkatesh Alexander Janke Craig Rothenberg Edwin Chan Robert D Becher
author_sort	Arjun K Venkatesh
title	National trends in emergency department closures, mergers, and utilization, 2005-2015.
title_short	National trends in emergency department closures, mergers, and utilization, 2005-2015.
title_full	National trends in emergency department closures, mergers, and utilization, 2005-2015.
title_fullStr	National trends in emergency department closures, mergers, and utilization, 2005-2015.
title_full_unstemmed	National trends in emergency department closures, mergers, and utilization, 2005-2015.
title_sort	national trends in emergency department closures, mergers, and utilization, 2005-2015.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/a8d2159dd45a45bebb57014dc4cf5089
work_keys_str_mv	AT arjunkvenkatesh nationaltrendsinemergencydepartmentclosuresmergersandutilization20052015 AT alexanderjanke nationaltrendsinemergencydepartmentclosuresmergersandutilization20052015 AT craigrothenberg nationaltrendsinemergencydepartmentclosuresmergersandutilization20052015 AT edwinchan nationaltrendsinemergencydepartmentclosuresmergersandutilization20052015 AT robertdbecher nationaltrendsinemergencydepartmentclosuresmergersandutilization20052015
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National trends in emergency department closures, mergers, and utilization, 2005-2015.

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