9% longer) when compared to non-Hispanic white patients. Next, we analyzed the mean duration of ED visits
by insurance coverage type. We found that Medicare patients’ visits had the longest mean duration (237.7 minutes), which could be due to higher severity of illness and presence of multiple diseases among these patients. Similarly, as shown in Table Table1,1, the mean duration of ED visits for patients with Medicaid, private insurance, other insurance (e.g., TRICARE, worker’s compensation, health safety net, and other government Inhibitors,research,lifescience,medical payments or non-managed care plans) and no insurance coverage were 182.8, 192.8, 169.4, and 191.8 minutes, respectively. These results suggest that the difference in mean duration of ED visits between patients with any insurance coverage and uninsured patients is negligible. This result can also be interpreted as a positive sign that uninsured patients face limited barriers to healthcare access at Microtubule inhibitor emergency department settings. Finally, we explored the potential relationship between the mean duration of visits and various
disease groups Inhibitors,research,lifescience,medical as an assessment of severity Inhibitors,research,lifescience,medical of illness. As presented in Table Table1,1, patients with diseases of blood and blood forming organs, neoplasm, and mental disorders experienced the longest mean duration of ED visits (327.3, 286.8, and 284.0 minutes, respectively). We observed the shortest ED stays among patients diagnosed with diseases of skin and subcutaneous tissue, injury and poisoning, and perinatal conditions Inhibitors,research,lifescience,medical (160.0, 159.6, and 140.5 minutes, respectively). These results highlight the impact of clinical severity of diseases on the mean duration of ED visits. Hospital characteristics and area characteristics Next, we analyzed hospital and area characteristics to explore other potential associations with longer ED visits. As shown in Table Table2,2, hospitals with large bed sizeg were associated with the longest duration of visits (222.2 minutes) when compared to hospitals with small bed size (172.4 minutes) or with medium bed size (166.5 minutes). Similarly, the mean duration of Inhibitors,research,lifescience,medical ED visits at urban hospitals was 26.8 minutes longer than those at their
rural counterparts. Recognizing the differences in income levels across geographic regions, we about compared the mean duration based on income distribution. We did not find significant differences in mean duration of ED visits between relatively richer or poorer counties. We also observed that the mean duration of visits at hospitals that are members of a hospital system was 6.7% shorter when compared to non-member hospitals. Similarly, the mean duration of visits at Level 1 trauma centers was 278.2 minutes and substantially longer than those at Level 2 or Level 3 trauma centers or non-trauma centers. One plausible explanation for this result is that Level 1 trauma centers provide the highest level of surgical care to seriously injured patients who may use more resources and whose treatments last longer.
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