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The Effects of Inappropriate Emercency Department Use


  • Marta Ameri
  • Paolo Cremonesi
  • Marcello Montefiori


Emergency Departments (EDs) are supposed to provide healthcare to patients with acute clinical conditions. Nevertheless almost 80% of total access to EDs is represented by white and green code patients. Looking at triage code classification as a proxy of patients’ severity, it clearly emerges that many accesses to EDs are inappropriate because of the absence of urgency. This paper is intended to investigate this phenomenon, defining an objective criterion of inappropriateness and estimating the impact it has on ED hospitals in terms of quality and cost. For this purpose a descriptive statistical and econometric analysis is implemented. We also focus our attention on the role played by non-EU patients without residence permits who are unable to get healthcare from general practitioners or other local care facilities.

Suggested Citation

  • Marta Ameri & Paolo Cremonesi & Marcello Montefiori, 2011. "The Effects of Inappropriate Emercency Department Use," STUDI ECONOMICI, FrancoAngeli Editore, vol. 2011(105), pages 123-136.
  • Handle: RePEc:fan:steste:v:html10.3280/ste2011-105002

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    Cited by:

    1. Paolo Cremonesi & Enrico Bella & Marcello Montefiori & Luca Persico, 2015. "The Robustness and Effectiveness of the Triage System at Times of Overcrowding and the Extra Costs due to Inappropriate Use of Emergency Departments," Applied Health Economics and Health Policy, Springer, vol. 13(5), pages 507-514, October.
    2. Lippi Bruni, Matteo & Mammi, Irene & Ugolini, Cristina, 2016. "Does the extension of primary care practice opening hours reduce the use of emergency services?," Journal of Health Economics, Elsevier, vol. 50(C), pages 144-155.

    More about this item

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets


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