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Introduction

Emergency agencies (EDs) are a crucial constituent in our health care security snare, accessible 24 hours a day, 7 days a week, for all who need care. There has been a stable boost in the capacity and acuity of patient visits to EDs, now with well over 100 million Americans (30 million children) obtaining crisis care annually. This rise in ED utilization has competently saturated the capacity of EDs and emergency health services in numerous communities. The resulting occurrence, routinely mentioned to as ED overcrowding, now threatens get access to to emergency services for those who need them the most. As managers of the pediatric medical home and advocates for children and optimal pediatric health care, (Derle, 2001, 151) there is a very important role for pediatricians and the American Academy of Pediatrics in guiding health policy decision-makers toward effective solutions that promote the medical home and timely access to emergency care.

ER standard overcrowding emergency departments

Much has been in writing about the use of crisis services. A prophetic 1958 study examining a important increase in emergency department (ED) utilization suggested that physicians and clinics should plan for the future by expanding the number of crisis facilities.1 Since that time, the number of ED visits in the United States has expanded more than 600%, with an estimated 108 million ED visits in 2000.2 Thirty million of those ED visits were for young kids 0 to 18 years of age.2

Over the past 2 decades, there has been increasing concern about this dramatic development in ED visits. During the mid-1980s and early 1990s, numerous wellbeing care policy analysts examined these rises as evidence of overutilization of EDs, specifically for nonemergent problems.3,4 Armed with data proposing that care provided in the ED was more expensive and possibly less effective, ...