Care-Seeking Patterns of Families Using a Municipal Hospital Emergency Room

Families bringing children to the pediatric walk-in clinic at Boston City Hospital were interviewed randomly over a 15-week period. Families were classified as having a stable or unstable relationship with either a hospital or a neighborhood health center (NHC) from their answers to a structured questionnaire. Little change was found in the proportion of unstable users of health facilities from a similar study conducted in 1964, suggesting that the introduction of the NHCs and Medicaid, which increased the availability and accessibility of health services for the urban poor, has no effect on patterns of multiple utilization of health providers. The major variables affecting a family's utilization pattern are hypothesized to be the level of satisfaction toward the primary care facility, as expressed by the family, and the perceived ability of different health care facilities to deal with a particular health situation

Emergency department · Family medicine · Medical emergency · Child and Adolescent Health · Emergency Medicine · Healthcare Policy and Management · Medicine · Nursing · Patient Satisfaction in Healthcare

• Utilization of Health Services by Poor Children Since Advent of Medicaid

  Suezanne Tangerose Orr, C Arden Miller et al.•Medical Care•1981

  Añadir item

• Emergency room use and primary care case management

  R E Hurley, R Hurley et al.•American Journal of Public Health•1989

  Añadir item

• Care-Seeking Patterns of Inner-City Families Using an Emergency Room

  DEVAL SHAH-CANNING, Joel J Alpert et al.•Medical Care•1996

  Añadir item

• Association Between Primary Care Practice Characteristics and Emergency Department Use in a Medicaid Managed Care Organization

  R A Lowe, A Russell Localio et al.•Medical Care•2005

  Añadir item

• Predictors of non-urgent utilization of hospital emergency services in Kuwait

  Open Access•Nasra M Shah, Makhdoom A Shah et al.•Social Science & Medicine•1996

  Añadir item

• The dilemma of seeking urgent care

  Open Access•Gay Becker, Susan Janson-Bjerklie et al.•Social Science & Medicine•1993

  Añadir item

• Hospital care utilization in a 17,000 population sample

  Open Access•Helen Hansagi, Staffan E Norell et al.•Social Science & Medicine•1985

  Añadir item

• Patterns of visits to hospital-based emergency rooms

  Open Access•Francois Beland, Anne Lemay et al.•Social Science & Medicine•1998

  Añadir item

• Socio-spatial perspectives on the utilization of emergency hospital services in two urban territories in Quebec

  Open Access•Francois Beland, Lise Philibert et al.•Social Science & Medicine•1990

  Añadir item

• Gaps in Doctor-Patient Communication

  Vida Francis, Barbara M Korsch et al.•New England Journal of Medicine•1969

  Añadir item

• “Metropolis”-What City People Think of Their Medical Services

  Earl Lomon Koos•American Journal of Public Health…•1955

  Añadir item

• Attitudes and satisfactions of low-income families receiving comprehensive pediatric care

  Joel J Alpert, John Kosa et al.•American Journal of Public Health…•1970

  Añadir item

• Effect of a Neighborhood Health Center on Hospital Emergency Room Use

  Gordon T Moore, Roberta Bernstein et al.•Medical Care•1972

  Añadir item

• The Types of Families That Use an Emergency Clinic

  Joel J Alpert, John Kosa et al.•Medical Care•1969

  Añadir item

• Continuity and Coordination in Primary Care

  Barbara Starfield, Barbara H Starfield et al.•Medical Care•1976

  Añadir item

• Help

  David George Satin, Frederick J Duhl•Medical Care•1972

  Añadir item

• The Impact of a Neighborhood Health Center on Patients??? Behavior and Attitudes Relating to Health Care

  Seymour S Bellin, H Jack Geiger et al.•Medical Care•1972

  Añadir item