- Race/Ethnicity-Related and Payer-Related Disparities in the Timeliness of Emergency Care in U.S. Emergency Departments
- Journal of Health Care for the Poor and Underserved
- Johns Hopkins University Press
- Volume 22, Number 2, May 2011
- p. pp. 606-620
- View Citation
Our study objectives were to examine race/ethnicity-related and insurance-related differences in the timeliness of emergency care for a nationally representative sample of adults and to explore the role of uncertainty and location of care in explaining overall differences. We estimated a logistic regression model with hospital fixed effects to derive estimates of within-hospital group differences in the likelihood of waiting for more than 60 minutes to see a physician for several presenting conditions. We further estimated a model without hospital fixed effects to derive overall group differences. We observed race/ethnicity-related and payer-related differences in the timeliness of a medical screening exam for abdominal pain and chest pain visits but not for extremity laceration visits. Overall (within- and between-hospitals) differences in waiting time were due to patients receiving different care from the same hospital and from patients receiving care from different hospitals.