02533cam a2200469 i 4500001001000000003000500010005001700015008004100032020003500073020003800108027002100146037002200167040001900189043001200208245011000220264003700330300004900367336002600416337002600442337002800468338003600496338002700532500001900559504005200578505009900630520078100729530005801510588004701568700004001615700003301655700003401688700002801722700002601750700003401776700003101810700003001841700003501871710001701906710002201923710004601945856007201991264841187RAND20200811100828.0081015s2013    caua     b    000 0 eng d  a0833080792 (pbk. : alk. paper)  a9780833080790 (pbk. : alk. paper)  aRAND/RR-280-ACEP  c$20.00fpaperback  aCstmoRcCstmoR  an-us---04aThe evolving role of emergency departments in the United States /cKristy Gonzalez Morganti ... [et al.]. 1aSanta Monica, CA :bRAND,c2013.  axi, 63 pages :bcolor illustrations ;c28 cm  atextbtxt2rdacontent  acomputerbc2rdamedia  aunmediatedbn2rdamedia  aonline resourcebcr2rdacarrier  avolumebnc2rdacarrier  a"RAND Health."  aIncludes bibliographical references (p. 57-63).0 aIntroduction -- Conceptual Model of ED Use -- Methods -- Findings -- Discussion -- Conclusion.  aThe research described in this report was performed to develop a more complete picture of how hospital emergency departments (EDs) contribute to the U.S. health care system, which is currently evolving in response to economic, clinical, and political pressures. Using a mix of quantitative and qualitative methods, it explores the evolving role that EDs and the personnel who staff them play in evaluating and managing complex and high-acuity patients, serving as the key decisionmaker for roughly half of all inpatient hospital admissions, and serving as “the safety net of the safety net” for patients who cannot get care elsewhere. The report also examines the role that EDs may soon play in either contributing to or helping to control the rising costs of health care.  aAlso available on the internet via WWW in PDF format.  aDescription based on print version record.1 aMorganti, Kristy Gonzalez.eauthor.1 aBauhoff, Sebastian.eauthor.1 aBlanchard, Janice C.eauthor.1 aAbir, Mahshid.eauthor.1 aIyer, Neema.eauthor.1 aSmith, Alexandria C.eauthor.1 aVesely, Joseph V.eauthor.1 aOkeke, Edward N.eauthor.1 aKellermann, Arthur L.eauthor.2 aRAND Health.2 aRand Corporation.2 aAmerican College of Emergency Physicians.41yOnline Accessuhttp://www.rand.org/pubs/research_reports/RR280.html