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November 10, 2010

Trends in US Emergency Department Visits

JAMA. 2010;304(18):2014-2015. doi:10.1001/jama.2010.1580

To the Editor: Dr Tang and colleagues1 examined trends in US ED visits from 1997 to 2007 and noted that ED visit rates among adults with Medicaid increased significantly between 1999 and 2007, from 693.9 to 947.2 visits per 1000 enrollees. In contrast, rates for adults with Medicare, private insurance, or no insurance showed no significant change. The authors postulated that “one possible explanation [for the increased ED rate] is that adults with Medicaid are experiencing increasing difficulties in accessing primary care.”

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