Paid sick leave is associated with fewer ED visits among US private sector working adults

Soumitra S. Bhuyan, Yang Wang, Jay Bhatt, S. Edward Dismuke, Erik L. Carlton, Dan Gentry, Chad A LaGrange, Cyril F. Chang

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Context The United States (US) is the only developed country that does not guarantee short-term or longer-term paid sick leave. Objective This study used a multiyear nationally representative database to examine the association between availability of paid sick leave and frequency of emergency department (ED) use among US private sector employees. Study sample We used the National Health Interview Survey data (2012-2014). The final study sample consists of 42,460 US adults between 18 and 64 years of age and working in nongovernmental private sector. Results Our results suggest that availability of paid sick leave is significantly associated with lower likelihood of ED use, for both moderate (1-3 times/year) and repeated users (4 or more times/year). After controlling for confounding factors, respondents with paid sick leave are 14% less likely to be moderate ED users (adjusted odds ratio, 0.86; 95% CI, 0.79-0.93) and 32% less likely to be repeated ED users (adjusted odds ratio, 0.68; 95% CI, 0.50-0.91). Discussion Although expansion of health insurance coverage under the Affordable Care Act has not been shown to reduce utilization of high cost health care services such as the ED, our study suggests other factors such as the availability of paid sick leave may do so, by allowing patients to seek care through other more cost-effective mechanisms (eg, primary care providers). To reduce ED utilization, health policymakers should consider alternative reforms including paid sick leave.

Original languageEnglish (US)
Pages (from-to)784-789
Number of pages6
JournalAmerican Journal of Emergency Medicine
Volume34
Issue number5
DOIs
StatePublished - May 1 2016

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Sick Leave
Private Sector
Hospital Emergency Service
Odds Ratio
Patient Protection and Affordable Care Act
Costs and Cost Analysis
Insurance Coverage
Health Insurance
Health Surveys
Developed Countries
Health Services
Primary Health Care
Databases
Interviews
Health

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Bhuyan, S. S., Wang, Y., Bhatt, J., Dismuke, S. E., Carlton, E. L., Gentry, D., ... Chang, C. F. (2016). Paid sick leave is associated with fewer ED visits among US private sector working adults. American Journal of Emergency Medicine, 34(5), 784-789. https://doi.org/10.1016/j.ajem.2015.12.089

Paid sick leave is associated with fewer ED visits among US private sector working adults. / Bhuyan, Soumitra S.; Wang, Yang; Bhatt, Jay; Dismuke, S. Edward; Carlton, Erik L.; Gentry, Dan; LaGrange, Chad A; Chang, Cyril F.

In: American Journal of Emergency Medicine, Vol. 34, No. 5, 01.05.2016, p. 784-789.

Research output: Contribution to journalArticle

Bhuyan, Soumitra S. ; Wang, Yang ; Bhatt, Jay ; Dismuke, S. Edward ; Carlton, Erik L. ; Gentry, Dan ; LaGrange, Chad A ; Chang, Cyril F. / Paid sick leave is associated with fewer ED visits among US private sector working adults. In: American Journal of Emergency Medicine. 2016 ; Vol. 34, No. 5. pp. 784-789.
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