Association of Affordable Care Act Implementation With Ambulance Utilization for Asthma Emergencies in New York City, 2008-2018 | Zendy

Gregory A. Peters | Zendy; Alexander J. Ordoobadi | Zendy; Rebecca E. Cash | Zendy; Matthew L. Wong | Zendy; Paul Avillach | Zendy; Carlos A. Camargo | Zendy

Open Access

Association of Affordable Care Act Implementation With Ambulance Utilization for Asthma Emergencies in New York City, 2008-2018

Author(s) -

Gregory A. Peters,

Alexander J. Ordoobadi,

Rebecca E. Cash,

Matthew L. Wong,

Paul Avillach,

Carlos A. Camargo

Publication year - 2020

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2020.25586

Subject(s) - asthma , medical emergency , medicine , emergency medicine

Key Points Question What is the association between insurance expansion and emergency medical services (EMS) dispatches for an ambulatory care–sensitive condition like asthma? Findings In this cohort study including 217 303 EMS dispatches for asthma emergencies in New York City, implementation of the Patient Protection and Affordable Care Act was associated with a decrease in calls for asthma emergencies. In adjusted models, larger decreases in the uninsured rate were associated with larger decreases in the asthma EMS dispatch rate. Meaning The findings of this study suggest that insurance expansion may lead to improved outpatient management of ambulatory care–sensitive conditions like asthma, resulting in decreased utilization of EMS.

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