Impact of Advanced Practice Prehospital Programs on Health Care Costs and ED Overcrowding A Literature Review

被引:7
作者
Green, Darcia [1 ]
Ruel, Jennifer [1 ]
机构
[1] Univ Arizona, 1305 N Martin Ave, Tucson, AZ 85721 USA
关键词
advanced practice; emergency department overcrowding; health care costs; nurse practitioner; physician assistant; QUALITY-OF-CARE; EMERGENCY-DEPARTMENT; PHYSICIAN ASSISTANTS; NURSE-PRACTITIONERS; SERVICES; ACCESS;
D O I
10.1097/TME.0000000000000291
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Health care costs in the United States continue to increase, requiring solutions that permit safe, quality care with a lower financial investment. Utilization of the emergency department for nonemergent care is considered to be one of the costliest, and most preventable methods of health care delivery. This review seeks to demonstrate how advanced practice prehospital programs can potentially decrease the cost of health care without sacrificing quality or safety. Utilization of the emergency department for nonemergent care contributes to the escalating cost of health care as well as to emergency department overcrowding. Advanced practice prehospital programs are a novel approach to potentially decreasing health care costs and emergency department overcrowding. This review introduces the current state of health care costs, emergency department overcrowding, and advanced practice prehospital programs. Further research is needed to determine the actual fiscal impact of these programs.
引用
收藏
页码:128 / 136
页数:9
相关论文
共 44 条
[1]  
American Academy of Physician Assistants, 2019, PA PROF HIST MIL
[2]  
American Academy of Physician Assistants, 2019, WHAT IS FACT SHEET
[3]  
American Association of Colleges of Nursing, 2016, CRIT EV NURS PRACT P
[4]  
American Association of Nurse Practitioners, 2019, WHATS NURS PRACT NP
[5]  
Bureau of Economic Analysis U.S. Department of Commerce, 2017, GROSS DOM PROD STAT
[6]  
Centers for Medicare & Medicaid Services, 2016, HOM HLTH QUAL IN
[7]   Travel distance and sociodemographic correlates of potentially avoidable emergency department visits in California, 2006-2010: an observational study [J].
Chen, Brian K. ;
Hibbert, James ;
Cheng, Xi ;
Bennett, Kevin .
INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH, 2015, 14
[8]   Site of Treatment for Non-Urgent Conditions by Medicare Beneficiaries: Is There a Role for Urgent Care Centers? [J].
Corwin, Gregory S. ;
Parker, Devin M. ;
Brown, Jeremiah R. .
AMERICAN JOURNAL OF MEDICINE, 2016, 129 (09) :966-973
[9]  
*CTR MED MED SERV, 2018, NAT HLTH EXP 2016 HI
[10]   Economic Measurement of Medical Errors Using a Hospital Claims Database [J].
David, Guy ;
Gunnarsson, Candace L. ;
Waters, Heidi C. ;
Horblyuk, Ruslan ;
Kaplan, Harold S. .
VALUE IN HEALTH, 2013, 16 (02) :305-310