Case Studies At Denver Health: ‘Patient Dumping’ In The Emergency Department Despite EMTALA, The Law That Banned It
| Autor: | Joel M. Hirsh, Philip S. Mehler, Lara Cartwright-Smith, Sara J. Rosenbaum |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Patient Transfer Colorado education Uncompensated Care MEDLINE Centers for Medicare and Medicaid Services U.S Compliance (psychology) Organizational Case Studies Hospitals Urban Dumping Humans Medicine Enforcement health care economics and organizations Medically Uninsured Medical treatment business.industry Health Policy Refusal to Treat Emergency department Middle Aged medicine.disease Hospital Charges United States Law Female Medical emergency Emergency Service Hospital business |
| Zdroj: | Health Affairs. 31:1749-1756 |
| ISSN: | 1544-5208 0278-2715 |
| DOI: | 10.1377/hlthaff.2012.0517 |
| Popis: | The Emergency Medical Treatment and Labor Act was enacted in 1986 to prevent hospitals from turning away patients with emergency medical conditions, often because they were uninsured--a practice commonly known as "patient dumping." Twenty-five years later, Denver Health--a large, urban, safety-net hospital--continues to experience instances in which people with emergency conditions, many of whom are uninsured, end up in the safety-net setting after having been denied care or receiving incomplete care elsewhere. We present five case studies and discuss potential limitations in the oversight and enforcement of the 1986 law. We advocate for a more effective system for reporting and acting on potential violations, as well as clearer standards governing compliance with the law. |
| Databáze: | OpenAIRE |
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