Emergency Department Visit-Severity Algorithm for Immediate Care Clinic Visits
These results demonstrate that immediate care clinics deliver predominantly non-emergent care as intended (81% vs 45% in the ED), potentially reducing ED crowding and validating current clinician- and patient-initiated referral practices. High rates of repeat ICC visits (47%) and follow-up with primary care physicians (41%) within the same healthcare system suggest these facilities foster care continuity while providing accessible, non-emergent care alternatives. However, user disparities persist as self-pay and uninsured patients show lower overall ICC use, while uninsured and publicly insured individuals present with emergent conditions more frequently than privately insured patients. These findings inform care-seeking education and health service delivery while highlighting the need to improve ICC accessibility across insurance types to optimize efficiency and patient outcomes.
Authors
- Luther Walls
- Talar Markossian (ORCID: https://orcid.org/0000-0002-8147-7083)
- Michael Cirone
- Beatrice D. Probst
- Jacy E. Neczypor (ORCID: https://orcid.org/0000-0002-1630-0169)
Institutions
- Loyola University Medical Center (US)
- Illinois College (US)
- Chicago Department of Public Health (US)
- Loyola University Chicago (US)
- University of Illinois Chicago (US)
- Advocate Christ Medical Center (US)
Publication Details
- Journal
- Western Journal of Emergency Medicine
- Published
- 2025-12-20
- DOI
- https://doi.org/10.5811/westjem.47360
- Primary Topic
- Emergency and Acute Care Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00