Nonurgent Emergency Department Visits
The Effect of Having a Regular Doctor
Datos Bibliográficos
| ID | 9103458 |
|---|---|
| Autores | Laura A Petersen (0000-0003-0875-1231, Brigham and Women's Hospital, autor de correspondencia), Helen Burstin (Brigham and Women's Hospital), Helen R Burstin, Anne C O'Neil, Anne O’Neil (Brigham and Women's Hospital), Endel John Orav (0000-0002-8886-7252, Brigham and Women's Hospital), Troyen A Brennan (Brigham and Women's Hospital) |
| Año | 1998 |
| Volumen | 36 |
| Número | 8 |
| Páginas | 1249-1255 |
| Fecha de publicación | 1998-08-01 |
| Peer Reviewed | Sí |
| Open Access | No |
| Tipo | ARTICLE |
| Revista | Medical Care (JOURNAL) |
| Identificadores de la revista | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Editorial | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-199808000-00012 |
| PMID | 9708596 |
| OpenAlex | W1974494537 |
| Idioma | EN |
| Citas recibidas | 17 |
| Referencias citadas | 22 |
OBJECTIVES: The authors assess the association between having a regular doctor and presentation for nonurgent versus urgent emergency department visits while controlling for potential confounders such as sociodemographics, health status, and comorbidity. METHODS: A cross-sectional study was conducted in emergency departments of five urban teaching hospitals in the northeast. Adult patients presenting with chest pain, abdominal pain, or asthma (n = 1696; 88% of eligible) were studied. Patients completed a survey on presentation, reporting sociodemographics, health status, comorbid diseases, and relationship with a regular doctor. Urgency on presentation was assessed by chart review using explicit criteria. RESULTS: Of the 1,696 study participants, 852 (50%) presented with nonurgent complaints. In logistic regression analyses, absence of a relationship with a regular physician was an independent correlate of presentation for a nonurgent emergency department visit (odds ratio 1.6; 95% confidence interval 1.2, 2.2) when controlling for age, gender, marital status, health status, and comorbid diseases. Race, lack of insurance, and education were not associated with nonurgent use. CONCLUSIONS: Absence of a relationship with a regular doctor was correlated with use of the emergency department for selected nonurgent conditions when controlling for important potential confounders. Our study suggests that maintaining a relationship with a regular physician may reduce nonurgent use of the emergency department regardless of insurance status or health status
Asthma · Comorbidity · Confidence interval · Confounding · Emergency department · Environmental health · Family medicine · Logistic regression · Marital status · Medical emergency · Odds · Odds ratio · Population · Psychiatry · Chronic Disease Management Strategies · Emergency and Acute Care Studies · Emergency Medicine · Internal Medicine · Medicine · Primary Care and Health Outcomes
Utilization profile of emergency department by irregular migrants and hospitalization rates
Characteristics of Occasional and Frequent Emergency Department Users
Health Care Access, Use of Services, and Experiences Among Undocumented Mexicans and Other Latinos
Asylum Seekers and Swiss Nationals with Low-Acuity Complaints
Emergency Department Discharge Outcome and Psychiatric Consultation in North African Patients
Inappropriate use of emergency services
The Effects of Cost-Shifting in the State Children’s Heath Insurance Program
Beyond Health Plans
Emergency Department Visits for Ambulatory Care Sensitive Conditions
Does Managed Care Enable More Low Income Persons to Identify a Usual Source of Care
A Low-Cost Approach to Prospective Identification of Impending High Cost Outcomes
Factors Associated with Reluctance to Use an Emergency Department in a Multi-ethnic Community
Care-giving and Care-seeking Behaviours of Parents Who Take Their Children to an Emergency Department for Non-urgent Care
When the Visit to the Emergency Department is Medically Nonurgent
Impact of cash incentives for low-income individuals to seek a primary care visit on mental health outcomes
Emotion and Culture
The Limits of Self-Management
The Nature of Adverse Events in Hospitalized Patients
Primary care and public emergency department overcrowding
Emergency room use and primary care case management
The Effects of Having a Regular Doctor on Access to Primary Care
The Impact of Outpatient Department and Emergency Room Use on Costs in the Texas Medicaid Program
An Emergency Room??s Patients
The MOS Short-form General Health Survey
| Obras citantes distintas | 17 |
|---|---|
| Citas por año | 0,63 |
| Intervalo de citas | 1999 - 2020 (22) |
| Velocidad de citación | historical |
| Altamente citado | No |
| Tipos de cita | Neutras: 15 |