{"id":"https://openalex.org/W2013597136","doi":"https://doi.org/10.1001/archinternmed.2012.1290","title":"Consequences of Federal Patient Transfer Regulations: Effect of the 2003 EMTALA Revision on a Tertiary Referral Center and Evidence of Possible Misuse","display_name":"Consequences of Federal Patient Transfer Regulations: Effect of the 2003 EMTALA Revision on a Tertiary Referral Center and Evidence of Possible Misuse","publication_year":2012,"publication_date":"2012-06-11","ids":{"openalex":"https://openalex.org/W2013597136","doi":"https://doi.org/10.1001/archinternmed.2012.1290","mag":"2013597136","pmid":"https://pubmed.ncbi.nlm.nih.gov/22688995"},"language":"en","primary_location":{"id":"doi:10.1001/archinternmed.2012.1290","doi":"https://doi.org/10.1001/archinternmed.2012.1290","is_oa":true,"landing_page_url":"https://doi.org/10.1001/archinternmed.2012.1290","pdf_url":"https://jamanetwork.com/journals/jamainternalmedicine/articlepdf/1182215/ilt120008_891_892.pdf","source":{"id":"https://openalex.org/S4210206803","display_name":"Archives of Internal Medicine","issn_l":"0003-9926","issn":["0003-9926","0730-188X","1538-3679"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Internal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://jamanetwork.com/journals/jamainternalmedicine/articlepdf/1182215/ilt120008_891_892.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5028982390","display_name":"David Peter Kao","orcid":"https://orcid.org/0000-0002-2832-9348","observed_orcids":["https://orcid.org/0000-0002-2832-9348"]},"institutions":[{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]},{"id":"https://openalex.org/I921990950","display_name":"University of Colorado Denver","ror":"https://ror.org/02hh7en24","country_code":"US","type":"education","lineage":["https://openalex.org/I921990950"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David P. Kao","raw_affiliation_strings":["Division of Cardiology, Department of Medicine, University of Colorado School of Medicine, Denver, USA. David.Kao@ucdenver.edu","Division of Cardiology, Department of Medicine, University of Colorado School of Medicine, Denver, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cardiology, Department of Medicine, University of Colorado School of Medicine, Denver, USA. David.Kao@ucdenver.edu","institution_ids":["https://openalex.org/I51713134","https://openalex.org/I921990950"]},{"raw_affiliation_string":"Division of Cardiology, Department of Medicine, University of Colorado School of Medicine, Denver, USA","institution_ids":["https://openalex.org/I51713134","https://openalex.org/I921990950"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051820504","display_name":"Marina H. Martin","orcid":"https://orcid.org/0000-0003-3753-5415","observed_orcids":["https://orcid.org/0000-0003-3753-5415"]},"institutions":[{"id":"https://openalex.org/I4210137306","display_name":"Stanford Medicine","ror":"https://ror.org/03mtd9a03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]},{"id":"https://openalex.org/I921990950","display_name":"University of Colorado Denver","ror":"https://ror.org/02hh7en24","country_code":"US","type":"education","lineage":["https://openalex.org/I921990950"]},{"id":"https://openalex.org/I97018004","display_name":"Stanford University","ror":"https://ror.org/00f54p054","country_code":"US","type":"education","lineage":["https://openalex.org/I97018004"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marina H. Martin","raw_affiliation_strings":["Stanford Prevention Research Center , Department of Medicine , Stanford University School of Medicine , Stanford , CA","12631 E 17 th Ave Campus Box B-130 Aurora, CO 80045","Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA","Division of Cardiology, Department of Medicine, University of Colorado School of Medicine, Denver, CO","Division of Pulmonary and Critical Care Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA","Stanford Center for Biomedical Informatics Research in the Department of Medicine, also","Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Stanford Prevention Research Center , Department of Medicine , Stanford University School of Medicine , Stanford , CA","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"raw_affiliation_string":"12631 E 17 th Ave Campus Box B-130 Aurora, CO 80045","institution_ids":[]},{"raw_affiliation_string":"Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"raw_affiliation_string":"Division of Cardiology, Department of Medicine, University of Colorado School of Medicine, Denver, CO","institution_ids":["https://openalex.org/I51713134","https://openalex.org/I921990950"]},{"raw_affiliation_string":"Division of Pulmonary and Critical Care Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"raw_affiliation_string":"Stanford Center for Biomedical Informatics Research in the Department of Medicine, also","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"raw_affiliation_string":"Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060076409","display_name":"Amar K. Das","orcid":"https://orcid.org/0000-0003-3556-0844","observed_orcids":["https://orcid.org/0000-0003-3556-0844"]},"institutions":[{"id":"https://openalex.org/I4210137306","display_name":"Stanford Medicine","ror":"https://ror.org/03mtd9a03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]},{"id":"https://openalex.org/I921990950","display_name":"University of Colorado Denver","ror":"https://ror.org/02hh7en24","country_code":"US","type":"education","lineage":["https://openalex.org/I921990950"]},{"id":"https://openalex.org/I97018004","display_name":"Stanford University","ror":"https://ror.org/00f54p054","country_code":"US","type":"education","lineage":["https://openalex.org/I97018004"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Amar K. Das","raw_affiliation_strings":["Department of Medicine , also Department of Psychiatry and Behavioral Sciences , Stanford University School of Medicine , Stanford , CA","Stanford Center for Biomedical Informatics Research in the","12631 E 17 th Ave Campus Box B-130 Aurora, CO 80045","Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA","Division of Cardiology, Department of Medicine, University of Colorado School of Medicine, Denver, CO","Division of Pulmonary and Critical Care Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA","Stanford Center for Biomedical Informatics Research in the Department of Medicine, also","Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine , also Department of Psychiatry and Behavioral Sciences , Stanford University School of Medicine , Stanford , CA","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"raw_affiliation_string":"Stanford Center for Biomedical Informatics Research in the","institution_ids":["https://openalex.org/I97018004"]},{"raw_affiliation_string":"12631 E 17 th Ave Campus Box B-130 Aurora, CO 80045","institution_ids":[]},{"raw_affiliation_string":"Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"raw_affiliation_string":"Division of Cardiology, Department of Medicine, University of Colorado School of Medicine, Denver, CO","institution_ids":["https://openalex.org/I51713134","https://openalex.org/I921990950"]},{"raw_affiliation_string":"Division of Pulmonary and Critical Care Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"raw_affiliation_string":"Stanford Center for Biomedical Informatics Research in the Department of Medicine, also","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"raw_affiliation_string":"Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5040167055","display_name":"Stephen J. Ruoss","orcid":"https://orcid.org/0000-0001-7231-3813","observed_orcids":["https://orcid.org/0000-0001-7231-3813"]},"institutions":[{"id":"https://openalex.org/I4210137306","display_name":"Stanford Medicine","ror":"https://ror.org/03mtd9a03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]},{"id":"https://openalex.org/I921990950","display_name":"University of Colorado Denver","ror":"https://ror.org/02hh7en24","country_code":"US","type":"education","lineage":["https://openalex.org/I921990950"]},{"id":"https://openalex.org/I97018004","display_name":"Stanford University","ror":"https://ror.org/00f54p054","country_code":"US","type":"education","lineage":["https://openalex.org/I97018004"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stephen J. Ruoss","raw_affiliation_strings":["12631 E 17 th Ave Campus Box B-130 Aurora , CO 80045","Division of Pulmonary and Critical Care Medicine , Department of Medicine , Stanford University School of Medicine , Stanford , CA","12631 E 17 th Ave Campus Box B-130 Aurora, CO 80045","Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA","Division of Cardiology, Department of Medicine, University of Colorado School of Medicine, Denver, CO","Division of Pulmonary and Critical Care Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA","Stanford Center for Biomedical Informatics Research in the Department of Medicine, also","Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"12631 E 17 th Ave Campus Box B-130 Aurora , CO 80045","institution_ids":[]},{"raw_affiliation_string":"Division of Pulmonary and Critical Care Medicine , Department of Medicine , Stanford University School of Medicine , Stanford , CA","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"raw_affiliation_string":"12631 E 17 th Ave Campus Box B-130 Aurora, CO 80045","institution_ids":[]},{"raw_affiliation_string":"Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"raw_affiliation_string":"Division of Cardiology, Department of Medicine, University of Colorado School of Medicine, Denver, CO","institution_ids":["https://openalex.org/I51713134","https://openalex.org/I921990950"]},{"raw_affiliation_string":"Division of Pulmonary and Critical Care Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"raw_affiliation_string":"Stanford Center for Biomedical Informatics Research in the Department of Medicine, also","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"raw_affiliation_string":"Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.0252,"has_fulltext":true,"cited_by_count":13,"citation_normalized_percentile":{"value":0.78708501,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"172","issue":"11","first_page":"891","last_page":"2"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.9878000020980835,"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":0.9878000020980835,"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":0.006200000178068876,"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/T10391","display_name":"Healthcare Policy and Management","score":0.003000000026077032,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/emtala","display_name":"EMTALA","score":0.9700000286102295},{"id":"https://openalex.org/keywords/patient-transfer","display_name":"patient transfer","score":0.6359999775886536},{"id":"https://openalex.org/keywords/emergency-department-use","display_name":"emergency department utilization","score":0.7039999961853027},{"id":"https://openalex.org/keywords/tertiary-referral-center","display_name":"tertiary referral center","score":0.6460000276565552},{"id":"https://openalex.org/keywords/selective-transfer","display_name":"selective transfer","score":0.5289999842643738},{"id":"https://openalex.org/keywords/underinsured-patients","display_name":"underinsured patients","score":0.9179999828338623},{"id":"https://openalex.org/keywords/emergency-medical-treatment","display_name":"emergency medical treatment","score":0.35499998927116394}],"concepts":[{"id":"https://openalex.org/C2779463800","wikidata":"https://www.wikidata.org/wiki/Q5062222","display_name":"Center (category theory)","level":2,"score":0.6803922653198242},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.4751681685447693},{"id":"https://openalex.org/C2991842025","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Tertiary care","level":2,"score":0.44518983364105225},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4124670624732971},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.37486064434051514},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.34156104922294617},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.05084231495857239},{"id":"https://openalex.org/C8010536","wikidata":"https://www.wikidata.org/wiki/Q160398","display_name":"Crystallography","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D002140","descriptor_name":"California","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002140","descriptor_name":"California","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002140","descriptor_name":"California","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":false},{"descriptor_ui":"D006471","descriptor_name":"Gastrointestinal Hemorrhage","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D006471","descriptor_name":"Gastrointestinal Hemorrhage","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D006471","descriptor_name":"Gastrointestinal Hemorrhage","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D007883","descriptor_name":"Legislation, Medical","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D007883","descriptor_name":"Legislation, Medical","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D007883","descriptor_name":"Legislation, Medical","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D007883","descriptor_name":"Legislation, Medical","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D007883","descriptor_name":"Legislation, Medical","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D007883","descriptor_name":"Legislation, Medical","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010360","descriptor_name":"Patient Transfer","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":false},{"descriptor_ui":"D010360","descriptor_name":"Patient Transfer","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":false},{"descriptor_ui":"D010360","descriptor_name":"Patient Transfer","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016099","descriptor_name":"Endoscopy, Gastrointestinal","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D016099","descriptor_name":"Endoscopy, Gastrointestinal","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D016099","descriptor_name":"Endoscopy, Gastrointestinal","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D035082","descriptor_name":"Federal Government","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D035082","descriptor_name":"Federal Government","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D035082","descriptor_name":"Federal Government","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1001/archinternmed.2012.1290","doi":"https://doi.org/10.1001/archinternmed.2012.1290","is_oa":true,"landing_page_url":"https://doi.org/10.1001/archinternmed.2012.1290","pdf_url":"https://jamanetwork.com/journals/jamainternalmedicine/articlepdf/1182215/ilt120008_891_892.pdf","source":{"id":"https://openalex.org/S4210206803","display_name":"Archives of Internal Medicine","issn_l":"0003-9926","issn":["0003-9926","0730-188X","1538-3679"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Internal Medicine","raw_type":"journal-article"},{"id":"pmid:22688995","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22688995","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of internal medicine","raw_type":"Journal Article"},{"id":"pmh:oai:europepmc.org:2673766","doi":null,"is_oa":false,"landing_page_url":"http://europepmc.org/articles/PMC3507997","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:3507997","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3507997","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Arch Intern Med","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1001/archinternmed.2012.1290","doi":"https://doi.org/10.1001/archinternmed.2012.1290","is_oa":true,"landing_page_url":"https://doi.org/10.1001/archinternmed.2012.1290","pdf_url":"https://jamanetwork.com/journals/jamainternalmedicine/articlepdf/1182215/ilt120008_891_892.pdf","source":{"id":"https://openalex.org/S4210206803","display_name":"Archives of Internal Medicine","issn_l":"0003-9926","issn":["0003-9926","0730-188X","1538-3679"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Internal Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.6240000128746033}],"sustainable_development_goals_aurora":[{"display_name":"Decent work and economic growth","id":"https://metadata.un.org/sdg/8","score":0.7300000190734863}],"study_designs":[],"awards":[{"id":"https://openalex.org/G407050446","display_name":null,"funder_award_id":"T15LM 007033","funder_id":"https://openalex.org/F4320337372","funder_display_name":"U.S. National Library of Medicine"},{"id":"https://openalex.org/G4901017752","display_name":"Post Graduate Studies in Cardiovascular Research","funder_award_id":"T32HL007822","funder_id":"https://openalex.org/F4320337338","funder_display_name":"National Heart, Lung, and Blood Institute"},{"id":"https://openalex.org/G5848177503","display_name":null,"funder_award_id":"L30HL110124","funder_id":"https://openalex.org/F4320337338","funder_display_name":"National Heart, Lung, and Blood Institute"}],"funders":[{"id":"https://openalex.org/F4320337338","display_name":"National Heart, Lung, and Blood Institute","ror":"https://ror.org/012pb6c26"},{"id":"https://openalex.org/F4320337372","display_name":"U.S. National Library of Medicine","ror":"https://ror.org/0060t0j89"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2013597136.pdf","grobid_xml":"https://content.openalex.org/works/W2013597136.grobid-xml"},"referenced_works_count":7,"referenced_works":["https://openalex.org/W2006007225","https://openalex.org/W2061234012","https://openalex.org/W2071627807","https://openalex.org/W2073269755","https://openalex.org/W2151978944","https://openalex.org/W2162453414","https://openalex.org/W2416152096"],"related_works":["https://openalex.org/W2273265398","https://openalex.org/W2419671669","https://openalex.org/W2749944573","https://openalex.org/W135094908","https://openalex.org/W1996905147","https://openalex.org/W2123391051","https://openalex.org/W1981626029","https://openalex.org/W2438940351","https://openalex.org/W2400237845","https://openalex.org/W2397088966"],"abstract_inverted_index":{"To":[0],"the":[1,10,23,74,79],"Editor:\r\n\r\nEmergency":[2],"department":[3],"(ED)":[4],"utilization":[5],"has":[6,111,133,148],"risen":[7],"steadily":[8],"over":[9],"past":[11],"20":[12],"years,":[13],"in":[14,93,137,165],"part":[15,138],"because":[16,139],"patients":[17,40,124],"are":[18,101,144],"guaranteed":[19],"medical":[20],"attention":[21],"under":[22],"Emergency":[24],"Medical":[25],"Treatment":[26],"and":[27,37,46,78,83],"Active":[28],"Labor":[29],"Act":[30],"(EMTALA).":[31],"EMTALA":[32,92,142,166],"requires":[33],"EDs":[34,100],"to":[35,44,55,104,125,162],"evaluate":[36],"stabilize":[38],"all":[39,109],"regardless":[41],"of":[42,76,116,122,152],"ability":[43],"pay,":[45],"hospitals":[47,66,98],"must":[48],"provide":[49],"specialist":[50,61,71,106],"care":[51,58,62],"or":[52],"arrange":[53],"transfer":[54,121,153,167],"a":[56,150,159],"tertiary":[57],"center":[59],"when":[60],"is":[63],"unavailable.1,2":[64],"Community":[65],"have":[67],"reported":[68],"difficulty":[69],"providing":[70],"coverage":[72,107,117],"since":[73,155],"enactment":[75],"EMTALA,":[77],"Centers":[80],"for":[81],"Medicare":[82],"Medicaid":[84],"Services":[85],"(CMS)":[86],"published":[87],"its":[88],"\u201cFinal":[89],"Rule\u201d":[90],"regarding":[91,141],"September,":[94],"2003,":[95],"stating":[96],"that":[97,114,157],"with":[99,127],"not":[102,134],"required":[103],"guarantee":[105],"at":[108],"times.3\r\n\r\nIt":[110],"been":[112,135],"suggested":[113],"elimination":[115],"requirements":[118],"permits":[119],"selective":[120],"underinsured":[123],"centers":[126],"mandatory":[128],"on-call":[129],"specialists.4,5":[130],"This":[131],"concern":[132],"validated,":[136],"data":[140],"referrals":[143],"limited.":[145],"Our":[146],"institution":[147],"kept":[149],"log":[151],"requests":[154],"2000":[156],"provides":[158],"unique":[160],"opportunity":[161],"analyze":[163],"trends":[164],"patterns.":[168]},"counts_by_year":[{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":1}],"updated_date":"2026-10-18T09:31:52.927876","created_date":"2025-10-10T00:00:00"}
