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Emergency Care Services: Trends, Drivers and Interventions to Manage the Demand

Author

Listed:
  • Caroline Berchet

    (OECD)

Abstract

Emergency departments are the front line of health care systems and play a critical role in ensuring an efficient and high-quality response for patients in stress or crisis situations. A growing demand for emergency care might however reduce patients’ satisfaction (through waiting times), increase health provider workload and adversely affect quality of care. This working paper begins with an overview of the trends in the volume of emergency department visits across 21 OECD countries. It then explores the main drivers of emergency department visits in hospital settings, paying attention to both demand and supply side determinants. Thereafter, national approaches instituted by countries to reduce the demand for emergency care and to guarantee a more efficient use of emergency resources are presented.

Suggested Citation

  • Caroline Berchet, 2015. "Emergency Care Services: Trends, Drivers and Interventions to Manage the Demand," OECD Health Working Papers 83, OECD Publishing.
    • Handle: RePEc:oec:elsaad:83-en
    DOI: 10.1787/5jrts344crns-en
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    Cited by:

    1. Sagan, Anna & Kowalska-Bobko, Iwona & Mokrzycka, Anna, 2016. "The 2015 emergency care reform in Poland: Some improvements, some unmet demands and some looming conflicts," Health Policy, Elsevier, vol. 120(11), pages 1220-1225.
    2. Norma B. Coe & Jing Guo & R. Tamara Konetzka & Courtney Harold Van Houtven, 2019. "What is the marginal benefit of payment‐induced family care? Impact on Medicaid spending and health of care recipients," Health Economics, John Wiley & Sons, Ltd., vol. 28(5), pages 678-692, May.
    3. Van den Heede, Koen & Quentin, Wilm & Dubois, Cécile & Devriese, Stephan & Van de Voorde, Carine, 2017. "The 2016 proposal for the reorganisation of urgent care provision in Belgium: A political struggle to co-locate primary care providers and emergency departments," Health Policy, Elsevier, vol. 121(4), pages 339-345.
    4. Francetic, I.; & Meacock, R.; & Siciliani, L.; & Sutton, M.;, 2024. "Disorderly queues: How does unexpected demand affect queue prioritisation in emergency care?," Health, Econometrics and Data Group (HEDG) Working Papers 24/14, HEDG, c/o Department of Economics, University of York.
    5. Mauro Laudicella & Paolo Li Donni, 2022. "The dynamic interdependence in the demand of primary and emergency secondary care: A hidden Markov approach," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 37(3), pages 521-536, April.
    6. Akkan, Can & Karadayi, Melis Almula & Ekinci, Yeliz & Ülengin, Füsun & Uray, Nimet & Karaosmanoğlu, Elif, 2020. "Efficiency analysis of emergency departments in metropolitan areas," Socio-Economic Planning Sciences, Elsevier, vol. 69(C).
    7. Tânia Fernandes & Anabela Botelho & Isabel Correia Dias & Lígia Costa Pinto & Jorge Teixeira & Paula Veiga, 2016. "Choice of emergency health services: an experimental study," NIMA Working Papers 65, Núcleo de Investigação em Microeconomia Aplicada (NIMA), Universidade do Minho.
    8. Baier, Natalie & Geissler, Alexander & Bech, Mickael & Bernstein, David & Cowling, Thomas E. & Jackson, Terri & van Manen, Johan & Rudkjøbing, Andreas & Quentin, Wilm, 2019. "Emergency and urgent care systems in Australia, Denmark, England, France, Germany and the Netherlands – Analyzing organization, payment and reforms," Health Policy, Elsevier, vol. 123(1), pages 1-10.
    9. Dormont, Brigitte & Dottin, Alexis, 2024. "Does the opening of an emergency department influence hospital admissions? Evidence from French private hospitals," Social Science & Medicine, Elsevier, vol. 340(C).
    10. Pinchbeck, Edward W., 2019. "Convenient primary care and emergency hospital utilisation," Journal of Health Economics, Elsevier, vol. 68(C).
    11. Elena Lucchese, 2020. "It could be worse...it could be raining: Ambulance response time and health outcomes," Working Papers 429, University of Milano-Bicocca, Department of Economics, revised Feb 2020.
    12. Van den Heede, Koen & Van de Voorde, Carine, 2016. "Interventions to reduce emergency department utilisation: A review of reviews," Health Policy, Elsevier, vol. 120(12), pages 1337-1349.
    13. Elena Lucchese, 2020. "Where are you? The problem of location during emergencies," Working Papers 439, University of Milano-Bicocca, Department of Economics, revised Apr 2020.
    14. Zeynep Or & Anne Penneau, 2017. "Analyse des déterminants territoriaux du recours aux urgences non suivi d’une hospitalisation," Working Papers DT72, IRDES institut for research and information in health economics, revised Sep 2017.
    15. Álvaro S Almeida & Joana Vales, 2017. "Models Of Primary Care Organization And The Use Of Emergency Departments," FEP Working Papers 598, Universidade do Porto, Faculdade de Economia do Porto.
    16. Or, Zeynep & Penneau, Anne, 2018. "A Multilevel Analysis of the determinants of emergency care visits by the elderly in France," Health Policy, Elsevier, vol. 122(8), pages 908-914.
    17. Francetic, Igor & Meacock, Rachel & Sutton, Matt, 2024. "Free-for-all: Does crowding impact outcomes because hospital emergency departments do not prioritise effectively?," Journal of Health Economics, Elsevier, vol. 95(C).
    18. Hélène Colineaux & Fanny Le Querrec & Laure Pourcel & Jean-Christophe Gallart & Olivier Azéma & Thierry Lang & Michelle Kelly-Irving & Sandrine Charpentier & Sébastien Lamy, 2018. "Is the use of emergency departments socially patterned?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(3), pages 397-407, April.
    19. Pinchbeck, Edward W., 2019. "Convenient primary care and emergency hospital utilisation," Journal of Health Economics, Elsevier, vol. 68(C).

    More about this item

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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