Effects of funding sources on emergency department access and the consequences on patient outcomes

The Foundation's Changes in Health Care Financing and Organization program was designed to support research, demonstration, and evaluation projects examining major changes in health care financing.Under this project, the researchers will examine whether decreased emergency department access results in adverse patient outcomes or changes in other health indicators. There is a great deal of literature documenting decreased access to emergency departments. However, there is little empirical evidence linking access to emergency departments and health outcomes. The research will use acute myocardial infarction (AMI) patients to examine health outcomes, since AMI patients are relatively homogeneous and the time sensitivity of treatment should be reflected in differences in outcomes. Specifically, the researchers will analyze: (1) the effect of emergency department closure on mortality rates and other health indicators for AMI patients; and (2) the effect of emergency department diversion on mortality rates and other health indicators for AMI patients. The objective of this project is to provide improved understanding of the impact of ambulance diversion in the health care system.

Grant Details

Amount Awarded $229,918.00

Awarded on: 3/11/2008

Time frame: 4/1/2008 - 11/30/2010

Grant Number: 63974


Naval Postgraduate School Graduate School of Business and Public Policy

555 Dyer Road
Monterey, 93943-5155


Yu-Chu Shen
Project Director