scholarly journals In California, Primary Care Continuity Was Associated With Reduced Emergency Department Use And Fewer Hospitalizations

2015 ◽  
Vol 34 (7) ◽  
pp. 1113-1120 ◽  
Author(s):  
Nadereh Pourat ◽  
Anna C. Davis ◽  
Xiao Chen ◽  
Shelley Vrungos ◽  
Gerald F. Kominski
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Emergency Department Use ◽  
Care Continuity

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 Association of Patients’ Perception of Primary Care Provider Listening With Emergency Department Use

PRiMER ◽  
2020 ◽  
Vol 4 ◽  
Author(s):  
Katie Hinderaker ◽  
Amanda Weinmann
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Primary Care Providers ◽  
California Health Interview Survey ◽  
Care Providers ◽  
Emergency Department Use ◽  
Younger Age ◽  
Interview Survey ◽  
Ed Visits ◽  
African American Race

Introduction: This study examined whether patients’ perceptions of their primary care providers’ (PCP) listening frequency were associated with emergency department (ED) utilization, including a comparison to patients without PCPs. Methods: Data were obtained from the 2015 California Health Interview Survey. Respondents were asked if they had a PCP and how often their PCPs listened, resulting in five groups: patients without a PCP (n=4,407), and patients with a PCP who perceived the PCP’s listening frequency to be never (n=254), sometimes (n=1,282), usually (n=3,440), or always (n=11,651). Multiple linear regression was performed to determine if patient-perceived listening frequency of the PCP was associated with the patient’s number of ED visits in the prior year, adjusting for various demographic, social, and health factors. Results: Compared to patients without a PCP, patients with a PCP had on average 0.15 more ED visits in a year, highest among those whose PCPs were perceived as listening the least: never=0.55 more visits per year (95% CI: 0.09-1.02, P=.02), sometimes=0.26 (0.01-0.51, P=.04), usually=0.03 (-0.17-0.24, P=.73), and always=0.16 (-0.05-0.36, P=.13). Other significant increases in ED visits were associated with public insurance, African-American race, English proficiency, younger age, self-rated fair-to-poor health, asthma, and hypertension. Conclusions: Patients who perceived their PCP as listening less frequently had more ED visits than patients whose PCPs were perceived as listening more frequently, and compared to patients without a PCP.

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