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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

To the Editor: In their article on uninsured adults presenting to US emergency departments (EDs), Dr Newton and colleagues¹ discussed some of the assumptions regarding uninsured patients and ED use. One additional issue in ED use is a patient's identification of a usual source of care or a patient's identification with a clinician. This has been shown to have direct effects on use.² It would therefore be interesting to know if the EDs were identified as a primary, usual source of care. Studies have also shown that prior contact with a health care system rather than current need of care was a key predictor of use.³

The study by Newton et al shows evidence that lack of accessible primary care is the factor most commonly named in determining why patients seek care in the ED. However, another important consideration is that lack of satisfaction with an individual clinician or health . . . [Full Text of this Article]

Shailendra Prasad, MBBS, MPH
pras0054@umn.edu
Department of Family Medicine and Community Health
University of Minnesota
Minneapolis

Jill Klingner, RN, PhD
Labovitz School of Business and Economics
University of Minnesota
Duluth

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