The Effect of the COVID-19 Pandemic on the Economics of United States Emergency Care
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SciScore for 10.1101/2020.12.12.20248102: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Institutional Review Board Statement IRB: This study was determined to not be human subjects’ research by the Institutional Review Board at Allegheny General Hospital. Randomization not detected. Blinding not detected. Power Analysis not detected. Sex as a biological variable not detected. Table 2: Resources
No key resources detected.
Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).
Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:These negative economic effects have occurred notably at the same time when the emergency medicine community …
SciScore for 10.1101/2020.12.12.20248102: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Institutional Review Board Statement IRB: This study was determined to not be human subjects’ research by the Institutional Review Board at Allegheny General Hospital. Randomization not detected. Blinding not detected. Power Analysis not detected. Sex as a biological variable not detected. Table 2: Resources
No key resources detected.
Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).
Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:These negative economic effects have occurred notably at the same time when the emergency medicine community has served as the frontline during a national public health emergency, increasing risks to their own health through exposure to a novel virus with concurrent limitations in the availability of personal protective equipment. In addition, there is a planned 6% reduction in Medicare reimbursement for emergency physician clinical services starting in 2021 based on the announced physician fee schedule from the Centers for Medicare and Medicaid Services, which will further worsen the economics of ED care.6 The economic effects and the staffing responses to the pandemic we observed differed by ED size. Smaller facilities and FSEDs lowered costs primarily through furloughing APPs. For medium and large facilities, there was a combination of physician and APP staffing reductions. A potential effect may be a long-term shift of ED-trained APPs into other facilities or even other fields of medicine, given the ability of APPs to switch fields more easily than physicians. For medium and large EDs, the pandemic caused dramatic declines in payments and 2-3 months where expenses dramatically exceeded payments. However, these facilities have remained more economically viable than small EDs and FSEDs, but at the expense of clinicians’ salaries and some jobs. Our data have implications for the funding of EDs longer-term post-pandemic. First, we demonstrate the vulnerability of a fee-for-se...
Results from TrialIdentifier: No clinical trial numbers were referenced.
Results from Barzooka: We did not find any issues relating to the usage of bar graphs.
Results from JetFighter: We did not find any issues relating to colormaps.
Results from rtransparent:- Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
- Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
- No protocol registration statement was detected.
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