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Emergency Medical Technicians

Journal Article

An Emergency Medicine-Primary Care Partnership to Improve Rural Population Health: Expanding the Role of Emergency Medicine

Working in partnership, emergency medicine and primary care can address rural populations' most pressing social and medical needs.

Sep 26, 2017
Journal Article

Emergency Physicians' Perceptions and Decision-Making Processes Regarding Patients Presenting with Palpitations

Palpitations are a common emergency department (ED) complaint, yet relatively little research exists on this topic from an emergency care perspective.

May 18, 2015
Journal Article

Medically Unnecessary Diagnostic Imaging: Emergency Physicians Weigh In

A substantial proportion of advanced imaging studies ordered by emergency physicians may be medically unnecessary. According to a broad survey of emergency medicine professionals, fear of missing a low-probability diagnosis and fear of litigation are perceived as two key contributing factors.

Apr 7, 2015
Journal Article

Emergency Physician Perceptions of Shared Decision-Making

A substantial proportion of advanced imaging studies ordered by emergency physicians may be medically unnecessary.

Apr 7, 2015
Journal Article

Making It More Difficult to Sue Physicians for Malpractice May Not Reduce 'Defensive Medicine'

Malpractice reform has been advocated by many experts as a key to reining in health care costs. Three states raised the standard for malpractice in the emergency room to gross negligence, but that did not translate into less-expensive care.

Oct 1, 2014
Journal Article

The State of Innovative Emergency Medical Service Programs in the United States

The primary objective of this study was to determine how EMS organizations that are piloting patient-centered treatment and transport protocols are approaching the challenges of implementation, reimbursement, and quality assurance.

Jan 1, 2014
Journal Article

Emergency Care: Then, Now, and Next

Emergency care must become more integrated, regionalized, prevention oriented, and innovative.

Dec 1, 2013
Journal Article

Giving EMS Flexibility in Transporting Low-Acuity Patients Could Generate Substantial Medicare Savings

If Medicare had the flexibility to reimburse EMS for managing selected 911 calls in ways other than transport to an ED, we estimate that the federal government could save $283–$560 million or more per year, while improving the continuity of patient care.

Dec 1, 2013
Journal Article

Primary Care Technicians: A Solution to the Primary Care Workforce Gap

Efforts to close the primary care workforce gap typically employ one of three basic strategies: train more primary care physicians; boost the supply of nurse practitioners or physician assistants, or both; or use community health workers to extend the reach of primary care physicians.

Nov 1, 2013
Journal Article

Should Payment Policy Be Changed to Allow a Wider Range of EMS Transport Options?

In light of growing concerns about the high cost of emergency care and heavy use of EDs, assessing EMS transport options should be a high-priority topic for outcomes research.

Jan 1, 2013
Journal Article

Lessons from Boston

This commentary explores the reasons why Boston's emergency response to the Marathon bombings was so effective and draws implications for other cities' preparedness efforts.

Jan 1, 2013
Journal Article

Ordering of CT by Emergency Department Provider Type: Analysis of a Nationally Representative Sample

We provide a descriptive trend analysis of CT studies ordered in U.S. emergency departments by nonphysician health care providers and examine whether there is a significant difference in ordering patterns between nonphysicians and physicians.

Nov 1, 2012
Journal Article

The Changing Landscape of America's Health Care System and the Value of Emergency Medicine

Emergency medicine is poised as a specialty to respond to health care changes and to lead the charge in transforming a disconnected, inefficient, and costly system.

Jan 1, 2012
Journal Article

The ER, 50 Years on

The quickest way to assess the strength of a community's hospital systems is to spend a few hours in the emergency department.

Jan 1, 2011
Journal Article

Where Americans Get Acute Care: Increasingly, It's Not at Their Doctor's Office

Only 42 percent of the 354 million annual visits in the U.S. for acute care—treatment for newly arising health problems—are made to patients' personal physicians. The rest are made to emergency departments (28 percent), specialists (20 percent), or outpatient departments (7 percent).

Sep 1, 2010
Journal Article

The Longitudinal Study of Turnover and the Cost of Turnover in EMS

Annual rates of employee turnover and costs associated with turnover vary widely across types of emergency medical services (EMS) agencies.

Jan 1, 2010
Journal Article

Developing Nonlinear Queuing Regressions to Increase Emergency Department Patient Safety: Approximating Reneging with Balking

Strategic decisionmaking about the capacity of emergency departments should be based on measures of patient safety, such as the number of patients who leave without treatment because of ED crowding.

Jan 1, 2010
Journal Article

The Base of the Pyramid

Simple injury prevention measures can save both money and lives.

Jan 1, 2010
Journal Article

Waiting Room Medicine: Has It Really Come to This?

Emergency department physicians are devising an ever-expanding list of workarounds to deal with ED overcrowding, but the author argues that their success in doing so perhaps enables abuse of patients rather than their protection.

Jan 1, 2010
People

Jay Balagna

Assistant Policy Researcher, RAND; Ph.D. Student, Pardee RAND Graduate School
Education M.P.H. in prevention science and practice, Emory University; B.A. in Spanish, University of Nevada, Reno

RAND Topic:
Emergency Medical Technicians

Topic Synonyms:
EMT;
Paramedics