The Affordable Care Act and pediatric emergency department utilization
from American Academy of Pediatrics
One of the goals of Affordable Care Act was to decrease emergency department utilization by improving primary care access. Drs. Michael Lee Jr. and Michael C. Monuteaux looked at ED visits rates pre- (2009-2013) and post- (2014-2016) the ACA taking effect in a large national sampling from pediatric EDs with population estimates for the communities in which those EDs were located. The results from this cross-sectional retrospective study showed no change in the overall utilization rate between these study years. However, ED visit rates trended upward by 1.1% a year from 2009-2013 but increased by 9.8% a year from 2014-2016.
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