Reducing Emergency Department use Requires Interventions at Multiple Levels

Bhuyan, Soumitra S.; Saha, Anand; Bhatt, Jay

doi:10.1016/j.ajem.2016.03.057

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…Certainly, the priority now is to fight the pandemic, but in time, many aspects of healthcare should be reviewed and better organization through telemedicine sought [3]. Hopefully, patients will have learnt to more appropriately utilize the numerous resources offered by the Italian NHS for all of its patients.…”

mentioning

confidence: 99%

COVID-19: what happened to all of the otolaryngology emergencies?

Gelardi

Iannuzzi

Trecca

et al. 2020

Eur Arch Otorhinolaryngol

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mentioning

confidence: 99%

COVID-19: what happened to all of the otolaryngology emergencies?

Gelardi

Iannuzzi

Trecca

et al. 2020

Eur Arch Otorhinolaryngol

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“…While the stated purpose is to provide "episodic" care, these centers have, like EDs, come to replace primary care of chronic conditions like asthma for many families. Because they operate within a closed network, there is no system for data sharing, no continuity of care with primary care providers, and consequently no follow up or ongoing chronic illness management (Bhuyan et al 2016). Clinic staff may offer some basic information and techniques, but their priority is attending to the immediate situation and advising families to follow up with their primary care physician, instead of offering chronic illness education.…”

Section: The Disarticulating Of Asthma Homeworkmentioning

confidence: 99%

Not Breathing Easy: “Disarticulated Homework” in Asthma Management

et al. 2021

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Recent health policy in the United States encourages an outsourcing of labor from professional practice into domestic spaces, where in theory, medical professionals supply the training, technologies, and guidance needed to discharge responsibility for care to patients or caregivers. Mattingly et al. (2011) term this labor “chronic homework,” describing the relationship between the assigning and undertaking of medical care at the borders of professional and domestic domains. This is a system predicated on relationships between professional and caregiver. However, in our research with families and providers in two U.S. sites, we observed a “disarticulation” of asthma care from professional medicine. Caregivers may undertake routine asthma management with little physician oversight, transforming chronic homework into what we term “disarticulated homework.” We argue that expanding the concept of chronic homework to theorize disarticulation processes can help elucidate how health disparities are reproduced in the gap between medical systems and domestic life. [asthma, self‐management, caregiving pharmaceuticalization, health disparities]

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