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Many patients who do not have primary care physicians nearby use the emergency room for routine problems.
In Texas, 180 counties do not have enough physicians, 70percentt of patients cannot obtain a same-day visit with their primary care doctor, and 79percentt of emergency room visits are for routine problems, according to OptumHealth.
And while some newer research has challenged the idea that a large proportion of patients visit the emergency room for routine problems, many payers and policy makers continue to focus on these patients as a major source of wasteful spending.
In Dr. Gerdes's office, the innovations include daily clinics at lunchtime called QuickSick, in which patients who have phoned up that morning can come in for routine problems requiring immediate attention, like an upper respiratory infection, and are guaranteed they will be examined, treated and on their way within a half-hour.
It is one of many drugs that put the drug companies in an awkward position: They earn their largest profits when they are prescribed for routine problems of wealthy Americans and Europeans, but they could save millions of the very poor if available and affordable.
You could hypothesize, I suppose, that after the Medicaid expansion more people went to ERs for life-threatening situations and fewer for routine problems, and the two trends cancelled each other out — but then you would expect the hospitalization rate to rise even if the ER visit rate did not, because the visits themselves would reflect more serious conditions.
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They are nothing to his spontaneous correspondence with Trajan, where one learns of routine problems, for instance with Christians confronting a provincial governor in Bithynia.
His services were also available for broken bones and other routine problems.
In one clear gain, her unit got city aid to establish a small clinic, saving trips to the hospital for routine medical problems.
India, for example, is struggling with the balance between public and private provisions of medical care for routine health problems, and with questions of medical training and availability (that is, whether India should have "barefoot doctors" or aim for only fully qualified practitioners).
In a recent study, a Harvard research team at Beth Israel Deaconess Medical Center found that patients were comfortable with computers playing a central role in their health care and expected that the Web would substitute for face-to-face doctor visits for routine health problems.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com