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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 2 of 2 Research Studies DisplayedTerp S, Seabury SA, Axeen S
The association between hospital characteristics and Emergency Medical Treatment and Labor Act citation events.
The Emergency Medical Treatment and Labor Act (EMTALA) is a federal law enacted in 1986 prohibiting patient dumping (refusing or transferring patients with emergency medical conditions without appropriate stabilization), and discrimination based upon ability to pay. In this study, the investigators evaluated hospital-level features associated with citation for EMTALA violation. They concluded that for-profit ownership was associated with increased odds of EMTALA citations after adjusting for other characteristics.
AHRQ-funded; HS025281.
Citation: Terp S, Seabury SA, Axeen S .
The association between hospital characteristics and Emergency Medical Treatment and Labor Act citation events.
Med Care 2020 Sep;58(9):793-99. doi: 10.1097/mlr.0000000000001360..
Keywords: Emergency Department, Hospitals, Policy, Transitions of Care
Mullen MT, Pajerowski W, Messe SR
Geographic modeling to quantify the impact of primary and comprehensive stroke center destination policies.
The purpose of this study was to evaluate the impact of a primary stroke center (PSC) destination policy in a major metropolitan city and to use geographic modeling in order to evaluate expected changes for a comprehensive stroke center policy. Suspected stroke emergency medical services encounters in Philadelphia, PA, were identified, and transport times before and after the initiation of a PSC destination policy in October 2011 were compared. Geographic modeling was used to estimate the impact of bypassing the closest hospital for the closest PSC or comprehensive stroke centers, which was common before the official policy and increased steadily over time. The researchers conclude that the time taken to route patients to PSCs or comprehensive stroke centers is low.
AHRQ-funded; HS018362.
Citation: Mullen MT, Pajerowski W, Messe SR .
Geographic modeling to quantify the impact of primary and comprehensive stroke center destination policies.
Stroke 2018 Apr;49(4):1021-23. doi: 10.1161/strokeaha.118.020691.
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Keywords: Emergency Department, Emergency Medical Services (EMS), Hospitals, Policy, Stroke