-APA format references -Please use simple words Please write a substantial well thought out response to what a peer wrote below: People who seek nonemergency care in emergency departments often encounter long waits to be seen because the emergency room purpose should be for true emergencies not for the alternative for primary care physician services. According to Behr and Diaz, (2016) about 130 million people visit emergency room annually indicating nearly 43 visits per 100 persons for nonemergency ailments that could have been treated at urgent care centers, retail clinics by primary care physician. With a law that requires emergency room to provide a screening exam and stabilization to all patients who visit refusing services to patients raises ethical concerns (Behr & Diaz, 2016) Misuse of the emergency room for nonemergency situations is a complex issue and the reason urgent care centers emerged as alternatives. The demographic variables such as gender, race, age, and employment status play a vital role in frequent hospital emergency room visits (Behr & Diaz, 2016). It is convenient for those who have difficulty obtaining an appointment with primary care physician and for the uninsured person it is a place to see the doctor without the appointment. ED departments themselves also have a role in deflecting patients back to primary health care (MacKichan, Brangan, Wye, Checkland, Lasserson, Huntley, and, Purdy (2017). The implication is the unmet medical needs that lead to chronic frequent ED use. The large amount use of emergency care resources which often results in emergency department (ED) overcrowding, decreased quality of care and efficiency. According to Krieg, Hudon, Chouinard, & Dufour, (2016) request ED visits represent substantial costs to the healthcare system and can potentially impact services by redirecting them away from urgent cases. As a result, the uncoordinated acute care received in the ED by these patients can be less effective compared to what they receive or would receive in primary care (Krieg, et al 2016) Education and provision of affordable care access is vital and my proposal would be to establish fully equip nonemergency ER with complete health care team to provide the underserved population with health care services such as education, resources, treatment, management, and discharge with follow up to help reduce ER visits and costs Focus should also be on providing health care services access to quality and patient-centered care for the community and to hold organizations accountable for the cost and outcome if they are not performing accordingly.
