PDF(Pubmed)
Abstract：
Musculoskeletal urgent care centers (MUCCs) are an increasingly common alternative to emergency departments for patients with orthopedic injuries. As there is a lack of longitudinal data regarding MUCCs\' impact on the emergency health care system, our study seeks to understand recent trends in MUCC growth and their acceptance of Medicaid insurance. Over the last 6 years, at 2-year intervals (2019, 2021, and 2023), we performed a search to identify all MUCCs in the United States. We determined the affiliation and Medicaid acceptance status of all MUCCs, including those that closed/opened between 2019, 2021, and 2023, to analyze trends in MUCC availability and Medicaid acceptance. In 2019, there were 558 MUCCs, which increased to 596 MUCCs in 2021 and then decreased to 555 MUCCs in 2023, representing a growth and then decline of approximately 7%. Overall, since June 2019, 90 MUCCs have opened and 95 MUCCs have closed. Medicaid acceptance increased nationally between 2019 and 2023, from 58% to 71%. Medicaid acceptance increased for both nonaffiliated and privately affiliated MUCCs. Medicaid acceptance has increased nationally from 2019 to 2023, while MUCC availability has gone through a period of growth and then reversion to 2019 levels. As MUCCs have demonstrated limited Medicaid acceptance previously, it is promising that Medicaid acceptance has improved and MUCCs are providing patients with an additional avenue to access orthopedic care.
摘要：
肌肉骨骼紧急护理中心（MUCC）是骨科受伤患者急诊部门的日益普遍的替代方案。由于缺乏关于MUCC对紧急医疗保健系统影响的纵向数据，我们的研究旨在了解MUCC增长的最新趋势及其对医疗补助保险的接受程度.在过去的6年里,每隔两年(2019年、2021年和2023年)，我们进行了一项搜索以识别美国的所有MUCC.我们确定了所有MUCC的隶属关系和医疗补助接受状态，包括在2019年，2021年和2023年之间关闭/打开的那些，以分析MUCC可用性和医疗补助接受度的趋势。2019年，有558个MUCC，2021年增加到596个MUCC，然后在2023年减少到555个MUCC，增长然后下降约7%。总的来说,自2019年6月以来，已有90个MUCC开放，95个MUCC关闭。2019年至2023年，全国医疗补助接受度从58%上升到71%。非附属和私人附属MUCC的医疗补助接受度增加。从2019年到2023年，全国范围内的医疗补助接受度有所增加，而MUCC的可用性经历了一段时间的增长，然后恢复到2019年的水平。由于MUCC以前证明了有限的医疗补助接受度，令人期待的是,Medicaid的接受度有所改善,MUCC为患者提供了获得骨科护理的额外途径.
