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{
    "pk": 13863,
    "title": "User Characteristics of a Low-Acuity Emergency Department Alternative for Low-Income Patients",
    "subtitle": null,
    "abstract": "Introduction: \nEmergency department (ED) use for healthcare that can be treated elsewhere is costly to the healthcare system. However, convenience settings such as urgent care centers (UCC) are generally inaccessible to low-income patients. Housing an UCC within a federally qualified health center (FQHC UCC) provides an accessible convenience setting for low-income patients. In 2014 a FQHC UCC opened two blocks from an ED in the same health system. Our goal was to compare characteristics, access to care, and utilization preferences for FQHC UCC and low-acuity ED patients through retrospective chart review and prospective surveying.\nMethods:\n We completed a retrospective chart review of all patients from March 1, 2018–March 1, 2019, and compared characteristics of low-acuity ED patients (N = 3,911) and FQHC UCC patients (N = 12,571). We also surveyed FQHC UCC patients (N = 201) and low-acuity ED patients (N = 198) from January–July 2019.\nResults:\n Half of FQHC UCC patients had private insurance. Of ED patients, 29% were aware of the FQHC UCC. Both groups had similar rates of primary care providers. The most common reason for choosing the ED was perceived severity, and for choosing a FQHC UCC was speed.\nConclusion: \nThese findings show similarities and differences between these two patient populations. Future research is needed to determine utilization patterns and in-depth reasons behind them. Interventions that help patients decide where to go for low-acuity care may create more utilization efficiency.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Healthcare Disparities"
        },
        {
            "word": "health services accessibility"
        },
        {
            "word": "Medicaid"
        },
        {
            "word": "Medically Uninsured"
        },
        {
            "word": "Emergency Departments"
        }
    ],
    "section": "Health Equity",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/9r73610v",
    "frozenauthors": [
        {
            "first_name": "Sara",
            "middle_name": "W.",
            "last_name": "Heinert",
            "name_suffix": "",
            "institution": "University of Illinois at Chicago, Department of Emergency Medicine, Chicago, Illinois",
            "department": "None"
        },
        {
            "first_name": "Melody",
            "middle_name": "",
            "last_name": "Mumford",
            "name_suffix": "",
            "institution": "University of Illinois at Chicago, Mile Square Health Center, Chicago, Illinois",
            "department": "None"
        },
        {
            "first_name": "Sarah",
            "middle_name": "E.",
            "last_name": "Kim",
            "name_suffix": "",
            "institution": "University of Illinois at Chicago, College of Medicine, Chicago, Illinois",
            "department": "None"
        },
        {
            "first_name": "Muhammad",
            "middle_name": "M.",
            "last_name": "Hossain",
            "name_suffix": "",
            "institution": "University of Illinois at Chicago, College of Medicine, Chicago, Illinois",
            "department": "None"
        },
        {
            "first_name": "Michael",
            "middle_name": "L.",
            "last_name": "Amashta",
            "name_suffix": "",
            "institution": "University of Illinois at Chicago, College of Medicine, Chicago, Illinois",
            "department": "None"
        },
        {
            "first_name": "Maria",
            "middle_name": "A.",
            "last_name": "Massey",
            "name_suffix": "",
            "institution": "University of Illinois at Chicago, College of Medicine, Chicago, Illinois",
            "department": "None"
        }
    ],
    "date_submitted": "2020-05-01T18:22:24+05:30",
    "date_accepted": "2020-05-01T18:22:24+05:30",
    "date_published": "2020-11-04T13:30:00+05:30",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/13863/galley/7215/download/"
        }
    ]
}