“The study shows a 20 percent overall reduction in travel time compared to similar intersections that use conventional traffic designs,” says Dr. Joe Hummer, professor of civil, construction and environmental engineering at NC State and one of the researchers who conducted the study. “We also found that superstreet intersections experience an average of 46 percent fewer reported automobile collisions – and 63 percent fewer collisions that result in personal injury.”

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Historically, general practitioners provided first-contact care in the United States. Today, however, only 42 percent of the 354 million annual visits for acute care—treatment for newly arising health problems—are made to patients’ personal physicians. The rest are made to emergency departments (28 percent), specialists (20 percent), or outpatient departments (7 percent). Although fewer than 5 percent of doctors are emergency physicians, they handle a quarter of all acute care encounters and more than half of such visits by the uninsured. Health reform provisions in the Patient Protection and Affordable Care Act that advance patient-centered medical homes and accountable care organizations are intended to improve access to acute care. The challenge for reform will be to succeed in the current, complex acute care landscape.