0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

Emergency Department Overuse:  Perceptions and Solutions

James G. Adams, MD
JAMA. 2013;309(11):1173-1174. doi:10.1001/jama.2013.2476.
Text Size: A A A
Published online

Extract

A common assertion is that heavy and inappropriate use of hospital emergency departments (EDs) in the United States contributes to waste and inefficiency. One estimate suggests that overuse of the ED costs $38 billion annually.1 This issue is certainly compelling, but the underlying notion is not necessarily new. Discussions of ED overuse and misuse have been ongoing for more than 4 decades.2,3 Although ED use, overuse, and misuse have been long-standing policy priorities, even specifically highlighted by Presidents Johnson, Clinton, Bush, and Obama, the number of ED visits in the United States has continued to increase almost unabated from approximately 44 million patients per year in 1968 to approximately 134 million annual visits more recently.46

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

June 26, 2013
Thomas E. Cowling, MPH; Azeem Majeed, MD
JAMA. 2013;309(24):2549-2550. doi:10.1001/jama.2013.6933.
June 26, 2013
James G. Adams, MD
JAMA. 2013;309(24):2549-2550. doi:10.1001/jama.2013.6938.
CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 4

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();