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The Robustness and Effectiveness of the Triage System at Times of Overcrowding and the Extra Costs due to Inappropriate Use of Emergency Departments

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  • Paolo Cremonesi
  • Enrico Bella
  • Marcello Montefiori
  • Luca Persico

Abstract

The implementation of effective policies intended to improve both efficiency and quality in providing emergency health services has to deal with the systemic problem of inappropriate use of EDs. Policy-makers should be aware of the fact that there is a considerable portion of ED demand for assistance that is inappropriate and that oversizing EDs with respect to the true, appropriate, urgent patients’ demands, could bring about a further and undesirable rise in inappropriate assistance demands and, therefore, an increase in ED costs that are not consistent with their objectives. Copyright Springer International Publishing Switzerland 2015

Suggested Citation

  • Paolo Cremonesi & Enrico Bella & Marcello Montefiori & Luca Persico, 2015. "The Robustness and Effectiveness of the Triage System at Times of Overcrowding and the Extra Costs due to Inappropriate Use of Emergency Departments," Applied Health Economics and Health Policy, Springer, vol. 13(5), pages 507-514, October.
    • Handle: RePEc:spr:aphecp:v:13:y:2015:i:5:p:507-514
    DOI: 10.1007/s40258-015-0166-5
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    References listed on IDEAS

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    1. Lippi Bruni, Matteo & Mammi, Irene & Ugolini, Cristina, 2016. "Does the extension of primary care practice opening hours reduce the use of emergency services?," Journal of Health Economics, Elsevier, vol. 50(C), pages 144-155.
    2. Pedro de Araujo & Maroula Khraiche & Andrea Tukan, 2013. "Does overcrowding and health insurance type impact patient outcomes in emergency departments?," Health Economics Review, Springer, vol. 3(1), pages 1-7, December.
    3. Marta Ameri & Paolo Cremonesi & Marcello Montefiori, 2011. "The Effects of Inappropriate Emercency Department Use," STUDI ECONOMICI, FrancoAngeli Editore, vol. 2011(105), pages 123-136.
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    Cited by:

    1. Marcello Montefiori & Enrico di Bella & Lucia Leporatti & Paolo Petralia, 2017. "Robustness and Effectiveness of the Triage System in the Pediatric Context," Applied Health Economics and Health Policy, Springer, vol. 15(6), pages 795-803, December.
    2. Rosella Levaggi & Marcello Montefiori & Luca Persico, 2020. "Speeding up the clinical pathways by accessing emergency departments," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(1), pages 37-44, February.
    3. Garrafa, Emirena & Levaggi, Rosella & Miniaci, Raffaele & Paolillo, Ciro, 2020. "When fear backfires: Emergency department accesses during the Covid-19 pandemic," Health Policy, Elsevier, vol. 124(12), pages 1333-1339.
    4. Enrico Di Bella & Lucia Fontana & Lucia Leporatti & Marcello Montefiori & Paolo Petralia, 2016. "Analisi socio-economica degli accessi ripetuti al pronto soccorso pediatrico: il caso dell?Istituto G. Gaslini di Genova," STUDI ECONOMICI, FrancoAngeli Editore, vol. 2016(118-119-1), pages 312-327.
    5. Lippi Bruni, Matteo & Mammi, Irene & Ugolini, Cristina, 2016. "Does the extension of primary care practice opening hours reduce the use of emergency services?," Journal of Health Economics, Elsevier, vol. 50(C), pages 144-155.
    6. Enrico di Bella & Luca Gandullia & Lucia Leporatti & Marcello Montefiori & Patrizia Orcamo, 2018. "Ranking and Prioritization of Emergency Departments Based on Multi-indicator Systems," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 136(3), pages 1089-1107, April.
    7. Sofia Vaz & Pedro Ramos, 2016. "Where did civil servants go? the effect of an increase in public co-payments on double insured patients," Health Economics Review, Springer, vol. 6(1), pages 1-8, December.

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