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March 18, 2009, Vol 301, No. 11 >

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Letters | March 18, 2009

Uninsured Patients and Emergency Department Use in the United States

Shailendra Prasad, MBBS, MPH; Jill Klingner, RN, PhD
JAMA. 2009;301(11):1124-1125. doi:10.1001/jama.2009.274.
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To the Editor: In their article on uninsured adults presenting to US emergency departments (EDs), Dr Newton and colleagues1 discussed some of the assumptions regarding uninsured patients and ED use. One additional issue in ED use is a patient's identification of a usual source of care or a patient's identification with a clinician. This has been shown to have direct effects on use.2 It would therefore be interesting to know if the EDs were identified as a primary, usual source of care. Studies have also shown that prior contact with a health care system rather than current need of care was a key predictor of use.3

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March 18, 2009
Uninsured Patients and Emergency Department Use in the United States—Reply
Carla C. Keirns, MD, PhD, MS; Manya F. Newton, MD, MPH, MS
JAMA. 2009;301(11):1124-1125. doi:10.1001/jama.2009.275.
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