WEDNESDAY, June 4, 2003 (HealthDayNews) -- Visits to emergency rooms in the United States are up 20 percent over the past decade, even while the number of emergency departments has shrunk by 15 percent, according to a new government survey released Wednesday.
"Nationwide each day, emergency departments are seeing 48,000 more patients across the country. That's about 12 more patients per day for each emergency department," says Linda McCaig, lead author of the latest report from the National Hospital Ambulatory Medical Care Survey, done by the U.S. Centers for Disease Control and Prevention (CDC).
Emergency rooms logged about 38.4 visits per 100 people in 2001, up from 35.7 visits in 1992, an 8 percent increase. This is the first time an overall trend has been reported since the CDC first began collecting data in 1992.
During 2001, an estimated 107.5 million visits were made to hospital emergency departments (EDs), compared to almost 90 million in 1992. Emergency departments account for approximately 10 percent of all ambulatory medical care visits in the United States.
The increase is due largely to a growing population and to a larger number of elderly, who tend to visit emergency rooms more often than younger people.
"Those are the main reasons, [but] we can speculate that people may have problems finding a primary care physician or scheduling an appointment in a timely fashion and so they find it more convenient to go to the ED," says McCaig, who is a health scientist with the CDC's National Center for Health Statistics in Hyattsville, Md. "Some people prefer to go there. They can get same-day service, they can see a specialist, they can have an MRI. Also, the percentage of senior citizens who have Medicare only has been increasing, so sometimes they find it hard to find a primary care physician."
Overcrowded, pressured emergency departments are now just more so. "We've been mandated to see everybody, there's less of us, managed care has made it harder for people to see their doctor, and we have an expanded role in providing primary care," says Dr. Neal Shipley, chairman of emergency medicine at North General Hospital in New York City. "We have financially strapped hospitals, financially strapped emergency departments. There's a nursing shortage. So many things are contributing to ED overcrowding. All of these things coming to a head in 2003 have been building and building."
Here are the report's main findings:
More information
To view the new report, click on this CDC site. The American College of Emergency Physicians has information on what to do in a medical emergency.