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End-of-Life Choices

Trends in end-of-life care show that not only does the care given vary widely from region to region and hospital to hospital, but also patients often don't get the care they prefer. What can be done?

Care Management Puzzle

Chronic diseases and the cost of care are rising. Are disease management programs improving outcomes for patients with complex, chronic conditions?

No Middleman

Under the "direct primary care" model, patients pay a monthly fee for basic medical services. Learn about the history and current landscape of physician practices offering this arrangement.

Special Reports

Wednesday, June 08, 2011

U.S. Facing Dramatic Decline in Number of Emergency Departments, According to Study

A study recently published in the Journal of the American Medical Association found that about one-third of U.S. emergency departments closed during a 20-year period ending in 2009.

According to UC-San Francisco researchers who conducted the study, the ED closures predominately affected safety-net hospitals that see a large proportion of low-income patients.

In a California Healthline Special Report by Kelly Wilkinson, experts discussed some of the factors that likely contributed to the recent decline in EDs. The Special Report includes comments from:

  • Renee Hsia, assistant professor of emergency medicine at UC-San Francisco;
  • Sandra Schneider, professor of emergency medicine at the University of Rochester Medical Center and president of the American College of Emergency Physicians; and
  • Caroline Steinberg, vice president of trends analysis at the American Hospital Association (Wilkinson, California Healthline, 6/8).

The complete transcript of this Special Report is available as a PDF.

Running Time: 5:07



Readers are invited to send feedback to: chl@chcf.org

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