1. Population aging and emergency departments: visits will not increase, lengths-of-stay and hospitalizations will.
- Author
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Pallin DJ, Allen MB, Espinola JA, Camargo CA Jr, and Bohan JS
- Subjects
- Aged, Forecasting, Health Services Needs and Demand statistics & numerical data, Health Services Needs and Demand trends, Hospital Bed Capacity statistics & numerical data, Humans, Likelihood Functions, Population Growth, Referral and Consultation statistics & numerical data, Time Factors, United States, Utilization Review, Emergency Service, Hospital statistics & numerical data, Emergency Service, Hospital trends, Hospitalization statistics & numerical data, Hospitalization trends, Length of Stay statistics & numerical data, Length of Stay trends, Population Dynamics statistics & numerical data, Population Dynamics trends
- Abstract
With US emergency care characterized as "at the breaking point," we studied how the aging of the US population would affect demand for emergency department (ED) services and hospitalizations in the coming decades. We applied current age-specific ED visit rates to the population structure anticipated by the Census Bureau to exist through 2050. Our results indicate that the aging of the population will not cause the number of ED visits to increase any more than would be expected from population growth. However, the data do predict increases in visit lengths and the likelihood of hospitalization. As a result, the aggregate amount of time patients spend in EDs nationwide will increase 10 percent faster than population growth. This means that ED capacity will have to increase by 10 percent, even without an increase in the number of visits. Hospital admissions from the ED will increase 23 percent faster than population growth, which will require hospitals to expand capacity faster than required by raw population growth alone.
- Published
- 2013
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