{"id":"https://openalex.org/W2000126786","doi":"https://doi.org/10.1016/j.annemergmed.2009.06.299","title":"269: The Impact of Declining Emergency Department Subspecialty Availability","display_name":"269: The Impact of Declining Emergency Department Subspecialty Availability","publication_year":2009,"publication_date":"2009-08-27","ids":{"openalex":"https://openalex.org/W2000126786","doi":"https://doi.org/10.1016/j.annemergmed.2009.06.299","mag":"2000126786"},"language":"en","primary_location":{"id":"doi:10.1016/j.annemergmed.2009.06.299","doi":"https://doi.org/10.1016/j.annemergmed.2009.06.299","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.annemergmed.2009.06.299","pdf_url":null,"source":{"id":"https://openalex.org/S116012647","display_name":"Annals of Emergency Medicine","issn_l":"0196-0644","issn":["0196-0644","1085-8717","1097-6760"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Emergency Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5047166370","display_name":"Jay G. Ladde","orcid":"https://orcid.org/0000-0001-7086-7206","observed_orcids":["https://orcid.org/0000-0001-7086-7206"]},"institutions":[{"id":"https://openalex.org/I2800658630","display_name":"Orlando Regional Medical Center","ror":"https://ror.org/01j9pph68","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I147878501","https://openalex.org/I2800658630"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"J. Ladde","raw_affiliation_strings":["Orlando Regional Medical Center, Orlando, FL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orlando Regional Medical Center, Orlando, FL","institution_ids":["https://openalex.org/I2800658630"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108275433","display_name":"Timothy Bullard","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800658630","display_name":"Orlando Regional Medical Center","ror":"https://ror.org/01j9pph68","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I147878501","https://openalex.org/I2800658630"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"T. Bullard","raw_affiliation_strings":["Orlando Regional Medical Center, Orlando, FL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orlando Regional Medical Center, Orlando, FL","institution_ids":["https://openalex.org/I2800658630"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5029878395","display_name":"Linda Papa","orcid":"https://orcid.org/0000-0002-1175-3839","observed_orcids":["https://orcid.org/0000-0002-1175-3839"]},"institutions":[{"id":"https://openalex.org/I2800658630","display_name":"Orlando Regional Medical Center","ror":"https://ror.org/01j9pph68","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I147878501","https://openalex.org/I2800658630"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"L. Papa","raw_affiliation_strings":["Orlando Regional Medical Center, Orlando, FL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orlando Regional Medical Center, Orlando, FL","institution_ids":["https://openalex.org/I2800658630"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I2800658630"],"apc_list":{"value":3850,"currency":"USD","value_usd":3850},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.15325847,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"54","issue":"3","first_page":"S84","last_page":"S84"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.9096999764442444,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.9096999764442444,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14354","display_name":"Emergency Medicine Education and Research","score":0.051899999380111694,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.007600000128149986,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/emergency-medicine-workforce","display_name":"emergency medicine workforce","score":0.4659999907016754},{"id":"https://openalex.org/keywords/reimbursement","display_name":"reimbursement","score":0.593999981880188},{"id":"https://openalex.org/keywords/legal-liability","display_name":"legal liability","score":0.7870000004768372},{"id":"https://openalex.org/keywords/emergency-department-care","display_name":"emergency department care","score":0.414000004529953}],"concepts":[{"id":"https://openalex.org/C2780642338","wikidata":"https://www.wikidata.org/wiki/Q7632042","display_name":"Subspecialty","level":2,"score":0.9255791306495667},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9244210720062256},{"id":"https://openalex.org/C20387591","wikidata":"https://www.wikidata.org/wiki/Q930752","display_name":"Specialty","level":2,"score":0.7738369703292847},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.7478122115135193},{"id":"https://openalex.org/C2779703844","wikidata":"https://www.wikidata.org/wiki/Q760125","display_name":"Reimbursement","level":3,"score":0.6789974570274353},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.5979428887367249},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.34493783116340637},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.2888951897621155},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.1356848180294037},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.1270081102848053},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.08370813727378845},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1016/j.annemergmed.2009.06.299","doi":"https://doi.org/10.1016/j.annemergmed.2009.06.299","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.annemergmed.2009.06.299","pdf_url":null,"source":{"id":"https://openalex.org/S116012647","display_name":"Annals of Emergency Medicine","issn_l":"0196-0644","issn":["0196-0644","1085-8717","1097-6760"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Emergency Medicine","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1558507779","https://openalex.org/W2473413900","https://openalex.org/W7051957939","https://openalex.org/W2066279772","https://openalex.org/W4291819949","https://openalex.org/W2319890953","https://openalex.org/W4247570663","https://openalex.org/W2334293043","https://openalex.org/W2885893027","https://openalex.org/W4251657748"],"abstract_inverted_index":null,"counts_by_year":[],"updated_date":"2026-07-28T07:46:37.118299","created_date":"2016-06-24T00:00:00"}