Publications

print share
Version HistoryVersion History

Title

Where Do Patients Go? How Patients Choose Between Care Settings for Minor Illnesses and Injuries

Publication Topics

Access to Health Care; Use of Health Services; Safety Net Providers; Cost and Utilization Studies

Publication Type

Policy Brief

Publication Date

2019-09-23T07:00:00Z

Author 1

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1356&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1356&RootFolder=*">Dana B. Mukamel, MS, PhD</a>

Author 2

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1617&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1617&RootFolder=*">Alpesh Amin</a>

Author 3

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1618&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1618&RootFolder=*">Heather Ladd</a>

Author 4

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=662&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=662&RootFolder=*">Dara H. Sorkin, PhD</a>

Author 5

Author 6

Author 7

Author 8

Author 9

Author 10

Author 11

Author 12

Author 13

Author 14

Abstract

​Patients have many alternatives to a hospital emergency room when they need medical care for an illness or injury that occurs at night or on the weekend: Urgent care centers, retail clinics, virtual physicians who diagnose over the internet, nurse advice lines ― and  in some major cities  physicians who make house calls. But what care settings are patients likely to choose?

To answer this question, authors surveyed over 5,000 employees at the University of California, Irvine campus,  a diverse population representing all socioeconomic strata. Based on an analysis of their responses, authors created a publicly available simulation model that allows users to understand what care settings are most likely to be chosen by different populations when faced with different clinical situations. The general findings:

  • Patients are more likely to choose less costly care settings and settings with less wait time, but that cost is more important than wait time. 
  • Both those choices depend on the severity of the injury or the disease. 
  • Travel time does not affect choice.
The model can inform policymakers and researchers in their efforts to understand the complex relationships between out-of-pocket costs, wait time, severity of the medical condition, and population characteristics that influence the choice of care setting. 

Thumbnail

Article 1

Policy Brief: Where Do Patients Go? How Patients Choose Between Care settings for Minor Illnesses and Injuries

Article 2

Article 3

Article 4

Article 5

Article 6

Article 7

Article 8

Article 9

Article 10

Article 11

Article 12

Press Release

Related Link 1

Related Link 2

Related Link 3

Related Link 4

Related Link 5

Related Link 6

Related Link 7

Related Link 8

Related Link 9

Related Link 10

Related Link 11

Related Link 12

Related Link 13

Related Link 14

Related Link 15

Related Link 16

Version: 14.0
Created at 8/19/2019 10:42 AM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 9/23/2019 7:24 AM by i:0#.f|uclachissqlmembershipprovider|celeste