Format

Send to

Choose Destination
See comment in PubMed Commons below
Health Serv Res. 2009 Dec;44(6):2022-39. doi: 10.1111/j.1475-6773.2009.01020.x. Epub 2009 Sep 2.

Variation in emergency department wait times for children by race/ethnicity and payment source.

Author information

1
Division of Health Policy and Administration, Yale University School of Public Health, 60 College Street, New Haven, CT 06510, USA.

Abstract

OBJECTIVE:

To quantify the variation in emergency department (ED) wait times by patient race/ethnicity and payment source, and to divide the overall association into between- and within-hospital components.

DATA SOURCE:

2005 and 2006 National Hospital Ambulatory Medical Care Surveys.

STUDY DESIGN:

Linear regression was used to analyze the independent associations between race/ethnicity, payment source, and ED wait times in a pooled cross-sectional design. A hybrid fixed effects specification was used to measure the between- and within-hospital components.

DATA EXTRACTION METHODS:

Data were limited to children under 16 years presenting at EDs.

PRINCIPAL RESULTS:

Unadjusted and adjusted ED wait times were significantly longer for non-Hispanic black and Hispanic children than for non-Hispanic white children. Children in EDs with higher shares of non-Hispanic black and Hispanic children waited longer. Moreover, Hispanic children waited 10.4 percent longer than non-Hispanic white children when treated at the same hospital. ED wait times for children did not vary significantly by payment source.

CONCLUSIONS:

There are sizable racial/ethnic differences in children's ED wait times that can be attributed to both the racial/ethnic mix of children in EDs and to differential treatment by race/ethnicity inside the ED.

PMID:
19732167
PMCID:
PMC2796312
DOI:
10.1111/j.1475-6773.2009.01020.x
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments

    Supplemental Content

    Full text links

    Icon for Wiley Icon for PubMed Central
    Loading ...
    Support Center