New Er Systems May Cut Care to Inner Cities

Summary


"Part of it is that they don't want to travel as far or go to a confusing [facility]," said [Jane Arnold]. "Most of these larger hospitals are in urban cores."

"'We have to do this,'" said [Deborah Stone], detailing the rationale of hospital systems using this defense. "This is the only way to stay alive as a business.'"

"To the extent that it's a revenue generator, that money should go back into the urban core facility," said Arnold. "The main hospital has to be at least as well or better staffed because the patients rely on the main hospital for all specialty care."

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Extract


New Er Systems May Cut Care to Inner Cities

As hospital systems expand, many feel the need to expand their services into new facilities. But a new trend of establishing satellite emergency care facilities may be creating a separate and unequal health care system.

Satellite emergency systems are being established in places like Washington, D.C.'s INOVA Health System and Kansas City's HCA M...

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