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Showing posts with label emergency care. Show all posts
Showing posts with label emergency care. Show all posts

Thursday, March 13, 2014

Opinion: The real crisis in America's ERs


Editor's note: Dr. Charles H. Norman is the president of the American Dental Association and a practicing dentist in Greensboro, North Carolina. He and the association are leading a nationwide grass-roots effort called Action for Dental Health to address America's dental health crisis.

(CNN) -- If you doubt there's a dental health crisis in America, walk into any emergency room. Every day, thousands of people without access to a dentist are looking for dental care in our ERs, most of which cannot provide the care these patients need.
We're experiencing this alarming trend right here in Greensboro, North Carolina. For example, one of our local hospitals, the Moses Cone Health Center, finds that about 10% of ER cases are related to dental issues.
Nationally, more than 2.1 million people, the vast majority of them adults, showed up in ERs with dental pain in 2010, double the number just a decade prior, according to the National Hospital Ambulatory Medical Care Survey.
Those ER visits for largely preventable issues cost the health system more than $2 billion that year. And the majority of dental ER visits, nearly 80%, were for common and preventable conditions like abscesses and cavities.
The reason for this? The percentage of working-age adults -- particularly young adults -- with private dental benefits continues to decline. And more than half of lower-income adults say they haven't seen a dentist in a year or longer. So patients go without proper cleaning and examinations and...
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Friday, June 7, 2013

Workers are too scared in the US to file claims

A recent research report indicated that workers fail to report occupational illness and accidents for fear of retribution by their employers. Most state laws prohibition retaliation by employers, but it is very difficult to enforce that aspect of workers' compensation statutes.

 2013 May 13. doi: 10.1111/1475-6773.12066. [Epub ahead of print]

The Proportion of Work-Related Emergency Department Visits Not Expected to Be Paid by Workers' Compensation: Implications for Occupational Health Surveillance, Research, Policy, and Health Equity.

Source

National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH.

Abstract

OBJECTIVE:

To examine trends in the proportion of work-related emergency department visits not expected to be paid by workers' compensation during 2003-2006, and to identify demographic and clinical correlates of such visits.

DATA SOURCE:

A total of 3,881 work-related emergency department visit records drawn from the 2003-2006 National Hospital Ambulatory Medical Care Surveys.

STUDY DESIGN:

Secondary, cross-sectional analyses of work-related emergency department visit data were performed. Odds ratios and 95 percent confidence intervals were modeled using logistic regression.

PRINCIPAL FINDINGS:

A substantial and increasing proportion of work-related emergency department visits in the United States were not expected to be paid by workers' compensation. Private insurance, Medicaid, Medicare, and workers themselves were expected to pay for 40 percent of the work-related emergency department visits with this percentage increasing annually. Work-related visits by blacks, in the South, to for-profit hospitals and for work-related illnesses were all more likely not to be paid by workers' compensation.

CONCLUSIONS:

Emergency department-based surveillance and research that determine work-relatedness on the basis of expected payment by workers' compensation systematically underestimate the occurrence of occupational illness and injury. This has important methodological and policy implications.
© Health Research and Educational Trust.
PMID:
 
23662682
 
[PubMed - as supplied by publisher]