scholarly journals Emergency Department Use and Enrollment in a Medical Home Providing After-Hours Care

2018 ◽  
Vol 16 (5) ◽  
pp. 419-427 ◽  
Author(s):  
Tara Kiran ◽  
Rahim Moineddin ◽  
Alexander Kopp ◽  
Eliot Frymire ◽  
Richard H. Glazier
Keyword(s):  
Emergency Department ◽  
Medical Home ◽  
Emergency Department Use ◽  
After Hours Care ◽  
After Hours

scholarly journals Why Parents Use the Emergency Department Despite Having a Medical Home

2018 ◽  
Vol 58 (1) ◽  
pp. 95-99 ◽  
Author(s):  
Kalpana Pethe ◽  
Allison Baxterbeck ◽  
Susan L. Rosenthal ◽  
Melissa S. Stockwell
Keyword(s):  
Emergency Department ◽  
Low Income ◽  
Medical Home ◽  
Medical Problem ◽  
Community Based ◽  
Phone Line ◽  
Medical Homes ◽  
Medical Home Model ◽  
After Hours ◽  
Publicly Insured

Despite having a medical home, pediatric patients continue emergency department (ED) utilization for various reasons. This study examines parental reasons associated with the decision to seek ED care in a group of low-income, inner-city, publicly insured children. Surveys were conducted with parents of children (age = 0-19 years) presenting to a community-based clinic, which has an established medical home model with enhanced access. Most patients (88.3%) had a pediatrician, and nearly all (93.3%) reported a visit to the ED; most (75.7%) were aware of clinic walk-in hours, but less than half (42.6%) were aware of an after-hours phone line. There was no difference in those who were aware of walk-in hours or an after-hours phone line and a reported ED visit. Half of the parents (52.5%) thought their child’s medical problem was serious. In addition to providing enhanced efforts, medical homes should strive to make families aware of increased access.

Relationship Between Presence of a Reported Medical Home and Emergency Department Use Among Children With Asthma

2010 ◽  
Vol 67 (4) ◽  
pp. 450-475 ◽  
Author(s):  
Abdoulaye Diedhiou ◽  
Janice C. Probst ◽  
James W. Hardin ◽  
Amy B. Martin ◽  
Sudha Xirasagar
Keyword(s):  
Emergency Department ◽  
Medical Home ◽  
Emergency Department Use ◽  
Children With Asthma

scholarly journals Effect of Access to After-Hours Primary Care on the Association Between Home Nursing Visits and Same-Day Emergency Department Use

2020 ◽  
Vol 18 (5) ◽  
pp. 406-412
Author(s):  
Aaron Jones ◽  
Susan E. Bronskill ◽  
Connie Schumacher ◽  
Hsien Seow ◽  
David Feeny ◽  
...  
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Home Nursing ◽  
Emergency Department Use ◽  
After Hours

scholarly journals The effects of primary care accessibility and continuity of care on less-urgent emergency department use

2021 ◽  
Author(s):  
◽  
Alexander Fraess-Phillips
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Emergency Department ◽  
Continuity Of Care ◽  
Interdisciplinary Teams ◽  
Event Analysis ◽  
Cross Sectional ◽  
After Hours Care ◽  
After Hours ◽  
The Impact

Background/Aims. Since the early 2000s, Canada’s primary care system has undergone substantial reforms, including the incorporation of interdisciplinary teams and strategies to optimise accessibility. However, the effects of primary care accessibility and continuity of care on less-urgent emergency department (ED) use are unclear. Three studies were undertaken to investigate the effects of primary care accessibility and continuity of care factors on less-urgent ED use. Methods. Study One employed a cross-sectional analysis of responses to the Canadian Survey of Experiences with Primary Health Care to predict self-reported ED visit avoidability; Study Two employed a longitudinal time-to-event analysis of responses to Ontario’s Health Care Experience Survey linked with subsequent National Ambulatory Care Reporting System data to predict medically assessed less-urgent ED use; and Study Three employed time-series analyses of presentations to two northern British Columbia EDs following changes in walk-in clinic coverage. Results. Study One (n = 2,625) found no significant associations between self-reported ED visit avoidability and all measures of primary care accessibility and continuity of care. However, rural respondents reported greater ED visit avoidability. Conversely, Study Two (n = 34,686) found that all accessibility factors were significantly associated with medically assessed less-urgent ED use, including the presence of a regular PCP, the regular source of care, and the availability of after-hours care through the PCP. However, time with the same PCP was not associated with medically assessed less-urgent ED use. Rurality was also found to moderate the effect of after-hours care accessibility, with only rural respondents reporting a beneficial effect. Finally, Study Three found that changes in walk-in clinic coverage resulted in short-term impacts on less-urgent ED use, with a walk-in clinic closure resulting in an immediate increase in less-urgent presentations and an opening resulting in an immediate decrease. Conclusions. The findings of Studies Two and Three provide evidence that primary care accessibility factors are associated with medically assessed less-urgent ED use; however, the findings of Study One suggest that these factors do not influence self-perceived ED visit avoidability. Future studies should consider this discordance when measuring the impact of primary care accessibility on less-urgent ED use.

scholarly journals Spreading a Medical Home Redesign: Effects on Emergency Department Use and Hospital Admissions

2013 ◽  
Vol 11 (Suppl_1) ◽  
pp. S19-S26 ◽  
Author(s):  
R. J. Reid ◽  
E. A. Johnson ◽  
C. Hsu ◽  
K. Ehrlich ◽  
K. Coleman ◽  
...  
Keyword(s):  
Emergency Department ◽  
Medical Home ◽  
Hospital Admissions ◽  
Emergency Department Use

scholarly journals Hospitalizations and Emergency Department Use in Mayo Clinic Biobank Participants Within the Employee and Community Health Medical Home

2013 ◽  
Vol 88 (9) ◽  
pp. 963-969 ◽  
Author(s):  
Paul Y. Takahashi ◽  
Euijung Ryu ◽  
Janet E. Olson ◽  
Kari S. Anderson ◽  
Matthew A. Hathcock ◽  
...  
Keyword(s):  
Emergency Department ◽  
Community Health ◽  
Mayo Clinic ◽  
Medical Home ◽  
Emergency Department Use
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