1. How often do you believe your emergency department plays a role in saving patients lives? A few times a month. Once a month.

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Calvin Oswald Walker
5 years ago
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ACEP 2011 National Emergency Physicians Survey Results Presented by: American College of Emergency Physicians ACEP conducted the poll from March 3, 2011, to March 11, 2011.

1 ACEP 2011 National Emergency Physicians Survey Results Presented by: American College of Emergency Physicians ACEP conducted the poll from March 3, 2011, to March 11, s were sent to 20,687 emergency physicians across the United States. 1,768 responded. The survey has a theoretical sampling error range of ± 2.23% - 1. How often do you believe your emergency department plays a role in saving patients lives? % % 1.20% 1.60% 0.20% 0.50% 0% 0% 0.1% 0.1% Daily week week month month Less often than once a Never Not sure 2. Approximately, how often are patients referred to your emergency department by a primary care physician? 120% 100% 80% 60% 40% 20% 0% 97% Daily 2.70% 0.1% 0.10% 0% 0% 0% 0% 0.10% 0% week week month month Less often than once a Never Not sure 1 ACEP 2011 National Emergency Physicians Survey Results

3. Have you ever heard of or seen Medicaid patients seeking care in your emergency department because they could not get an appointment with a physician when they needed it? 120 100 97.

2 3. Have you ever heard of or seen Medicaid patients seeking care in your emergency department because they could not get an appointment with a physician when they needed it? % % 1.60% Yes No Not sure 4. How often are Medicaid patients seeking care in your emergency department because they could not get an appointment with a physician when they needed it? 100% 90% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Daily 7.80% week 0.20% 0.30% 0% 0.10% 0% 0% 0% 1.60% week month month Less often than once a Never Not sure 2 ACEP 2011 National Emergency Physicians Survey Results

3 5. How has the number of patients in your emergency department changed over the past? 45.00% 40.20% 40.20% 35.00% 25.00% 15.00% 5.00% increased increased 5.90% decreased 0.70% decreased 10.80% No change 2.30% Not sure 6. Thinking ahead, how do you believe the number of patients in your emergency department will change over the next? 49.30% 43.60% increase increase 0.70% 0.10% decrease decrease 3.60% 2.70% No change Not sure 3 ACEP 2011 National Emergency Physicians Survey Results

4 7. Which of the following is the most important reason the number of patients will increase in your emergency department? 27.60% 25.00% 22.60% 15.00% 12.60% 15.60% 5.00% 4.80% 8.80% 7.90% Growing population in general Growing elderly population Physician shortages Increase in patients with health coverage Increase in patients without health coverage Increase in None of these new Medicaid patients 8. Which of the following best describes the main role your emergency department plays in the lives of your community? 35.00% 31.80% 25.00% 24.50% 22.30% 15.00% 12.50% 7.50% 5.00% Rapid diagnostic center Link to the entire health care system 0.10% Disaster response center Acute care provider 1.20% Medical care for the uninsured and 24-hour medical care (available when other None of these underinsured providers are closed) 4 ACEP 2011 National Emergency Physicians Survey Results

5 9. How efficiently does your emergency department use its resources (e.g., staff, tests, etc.)? 56.80% 22.20% 17.10% Very efficiently efficiently Not very efficiently 3.60% Not at all efficiently 0.30% Not sure 10. Which of the following do you believe is the biggest expense on a patient s emergency department bill? 0.80% 0.50% 1.10% Emergency physician charges (1.10%) 0.40% 9.70% Hospital facility charges (38.70%) 38.70% Diagnostic testing charges (48.80%) Medication charges (0.40%) 48.80% Specialist/other physician charges (excluding emergency physicians) (0.50%) None of the above (0.80%) Not sure (9.70%) 5 ACEP 2011 National Emergency Physicians Survey Results

6 11. Which of the following, if any, do you believe is the biggest challenge to cutting emergency department costs? 4.00% 9.10% 19.80% 9.10% 1.70% 12.00% 44.40% The need to run expensive tests (9.10%) Patients' demands for expensive tests (9.10%) Lack of emergency patient medical history (1.70%) Fear of lawsuits (44.40%) Cost shifts by hospitals to accommodate poor reimbursements by uninsured patients or Medicaid or Medicare patients. (12.00%) Increase in uninsured patients using emergency services because no physicians will treat them. (19.80%) None of these (4.00%) 6 ACEP 2011 National Emergency Physicians Survey Results

7 12. For which of the following reasons, if any, do you believe is the main reason that emergency physicians conduct the number of tests that they do? 53.50% 36.90% 2.50% 4.30% 2.80% Fear of lawsuits No access to patient health history Patients' demands for expensive tests Symptoms patients present with could be a sign of more than one problem None of these 13. Do you agree or disagree with the following statement: There is no room to cut costs in my emergency department. 6.20% 30.90% 17.0% Strongly agree (6.20%) agree (17.0%) disagree (45.90%) Strongly disagree (30.90%) 45.90% 7 ACEP 2011 National Emergency Physicians Survey Results

8 14. Do you agree or disagree with the following statement: It would be difficult for emergency physicians to cut emergency department costs without sacrificing patient care % 12.80% 37.50% 35.30% Strongly agree (12.80%) agree (35.30%) disagree (37.50%) Strongly disagree (14.40%) 15. How has the passage of the health care reform law influenced your decision to practice as an emergency physician? % 15.10% 6.50% 7.10% I plan to stop practicing medicine I plan to practice medicine in another role (e.g., researcher, consultant, etc.) No influence, I plan to continue practicing as an emergency physician Undecided 8 ACEP 2011 National Emergency Physicians Survey Results

9 16. How do you believe the number of visits will change as health care reforms are implemented? 54.10% 34.80% 3.20% increase increase decrease 0.20% decrease 7.60% No change 17. Since the health care reform law passed, how has the number of medical specialist physicians (e.g., OB/GYNs, neurosurgeons, cardiologists, etc.) willing to take calls in your emergency department changed? 80% 70% 68.10% 60% 50% 40% 30% 24.10% 20% 10% 7.20% 0% 0% 0.60% increased increased decreased decreased No change 9 ACEP 2011 National Emergency Physicians Survey Results

10 18. Are you a hospital employee? % 28.80% Yes No 19. Which of the following best describes the type of hospital at which you work? 47.40% 45.00% 37.90% 35.00% 25.00% 15.00% 14.70% 5.00% Urban or in a city Suburban or close to a city Rural or small town, far from a city 10 ACEP 2011 National Emergency Physicians Survey Results

11 20. Which of the following describes the area where your hospital is located? 10.10% 0.30% 12.0% 15.30% Less than 25,000 (12.0%) 24,000-49,999 (33.0%) 50,000-74,999 (29.40%) 33.0% 75,000-99,999 (15.30%) 100,000 or more (10.10%) Not sure (0.30%) 29.40% 21. Approximately, how many patients does your emergency department see annually? 10.10% 0.30% 12.0% 15.30% 33.0% Less than 25,000 (12.0%) 25,000-49,999 (33.0%) 50,000-74,999 (29.40%) 75,000-99,999 (15.30%) 100,000 or more (10.10%) Not sure (0.30%) 29.40% 11 ACEP 2011 National Emergency Physicians Survey Results

12 22. What is your gender? % Male 20.90% Female 23. Which of the following best describes your political affiliation? 40.0% 35.0% 30.0% 25.0% 20.0% 15.0% 25.0% 29.50% 34.10% 10.0% 8.0% 5.0% 0.0% 3.40% Democrat Republican Independent Other Prefer not to answer 12 ACEP 2011 National Emergency Physicians Survey Results

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