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Office Visits Preventing Emergency Room Visits: Evidence From the Flint Water Switch

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  • Shooshan Danagoulian
  • Daniel S. Grossman
  • David Slusky

Abstract

Emergency department visits are costly to providers and to patients. We use the Flint water crisis to test if an increase in office visits reduced avoidable emergency room visits. In September 2015, the city of Flint issued a lead advisory to its residents, alerting them of increased lead levels in their drinking water, resulting from the switch in water source from Lake Huron to the Flint River. Using Medicaid claims for 2013-2016, we find that this information shock increased the share of enrollees who had lead tests performed by 1.7 percentage points. Additionally, it increased office visits immediately following the information shock and led to a reduction of 4.9 preventable, non-emergent, and primary-care-treatable emergency room visits per 1000 eligible children (8.2%). This decrease is present in shifts from emergency room visits to office visits across several common conditions. Our analysis suggest that children were more likely to receive care from the same clinic following lead tests and that establishing care reduced the likelihood parents would take their children to emergency rooms for conditions treatable in an office setting. Our results are potentially applicable to any situation in which individuals are induced to seek more care in an office visit setting.

Suggested Citation

  • Shooshan Danagoulian & Daniel S. Grossman & David Slusky, 2020. "Office Visits Preventing Emergency Room Visits: Evidence From the Flint Water Switch," NBER Working Papers 27098, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:27098
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    Cited by:

    1. Tim Bersak & Lyudmyla Sonchakā€Ardan, 2022. "Prenatal care: Mechanisms and impacts on infant health and health care utilization," Contemporary Economic Policy, Western Economic Association International, vol. 40(1), pages 48-65, January.
    2. Nicole Gorton & Maxim L. Pinkovskiy, 2021. "Credit Access and Mobility during the Flint Water Crisis," Staff Reports 960, Federal Reserve Bank of New York.

    More about this item

    JEL classification:

    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • Q53 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Air Pollution; Water Pollution; Noise; Hazardous Waste; Solid Waste; Recycling
    • Q58 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Environmental Economics: Government Policy

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