Minority Health Archive

Variation in Emergency Department Wait Times for Children by Race/Ethnicity and Payment Source

Park, Christine Y. and Lee, Mary Alice and Epstein, Andrew J. (2009) Variation in Emergency Department Wait Times for Children by Race/Ethnicity and Payment Source. Health Services Research, 44 (6). pp. 2022-2039. ISSN 00179124

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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.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: Race/ethnicity; insurance; emergency department; wait time
Subjects: Health > Health Equity > Access To Healthcare
Health > Disparities
Health > Prenatal & Pediatric Health
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Depositing User: Users 141 not found.
Date Deposited: 26 Jun 2011 17:48
Last Modified: 26 Jun 2011 17:48
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/2638

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