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Health


WHY ARE WAIT TIMES SO LONG IN EMERGENCY ROOMS?


The average ER wait time in the United States is about 40 minutes. (iStock)
By Erin Blakemore
May 30, 2020
By Erin Blakemore
May 30, 2020
Share this story

Have you ever rushed to the emergency room — then waited, and waited and waited?
If so, you’re not alone. The average ER wait time in the United States is about
40 minutes. And more than 22 million ER visits — over 16 percent of all visits —
involved more than an hour of waiting in 2017, the most recent year tabulated by
the Centers for Disease Control and Prevention.

FAQ: What to know about the omicron variant of the coronavirusArrowRight

Why the long wait times?

Two health policy experts from Boston University had the same question. And when
they dived into the statistics, they realized that some patients are urged to go
to the ER even though they don’t have a true emergency.

Paul Shafer, an assistant professor of health law, policy and management, and
Alex Woodruff, a policy analyst, identify a variety of reasons ER waits are so
long in an article published in The Conversation.

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ERs face what they call a “herculean task”: treat all comers, reduce wait times
and reduce costs, even in the face of financial stressors. But the sheer number
of people who walk through the doors makes all the difference — and those
numbers can be driven up by physicians who don’t have admitting privileges and
those who refer people to the ER because of tight schedules or symptoms beyond
their purview.

They cite a 2017 study in which researchers surveyed 1,100 patients who had been
triaged at the UCLA emergency department. None of the patients had symptoms that
had resulted in immediate care, and none were in severe pain or distress.

Fifty-two percent of the patients reported they had spoken with a medical
provider or office within the past three days, and 59 percent said they’d have
been willing to see a doctor in a clinic instead. However, a full 70 percent
reported a medical provider told them to go to the emergency room.

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“Every day, hospital emergency departments serve as the entry point into health
care for Americans who don’t feel right and have nowhere else to go, or have an
emergency, like a car accident,” they write. “This also includes millions of
patients seeking routine medical care that is available elsewhere: While the
estimates vary widely from study to study, upwards of a third of all emergency
department visits could be considered ‘nonurgent.’ ”



Shafer and Woodruff acknowledge that there’s no such thing as the “right” wait
time. In the article, they identify some potential solutions — and a raft of
systemic challenges that could keep your wait time high the next time you get
care. To read the piece, visit bit.ly/ERwait.



Sorry, ER patients. People with elective procedures get the hospital beds first.

How risky is it right now to get non-coronavirus medical care?

Hospitals are changing ERs to make a better environment for older people

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