Reconnecting Patients With Their Primary Care Provider
| Autor: | Brad C. Weselman, Jesse J. Sturm, Daniel A. Hirsh, Harold K. Simon |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Counseling Male Parents Pediatric emergency medicine.medical_specialty Adolescent Office Visits Primary care Intervention group Health Services Misuse law.invention Tertiary Care Centers Patient Education as Topic Randomized controlled trial Risk Factors Medical advice law Intervention (counseling) medicine Humans Prospective Studies Child Prospective cohort study Referral and Consultation Primary Health Care business.industry Follow up studies Infant Patient Acceptance of Health Care Hospitals Pediatric United States Child Preschool Pediatrics Perinatology and Child Health Emergency medicine Female Emergency Service Hospital business Follow-Up Studies |
| Zdroj: | Clinical Pediatrics. 53:988-994 |
| ISSN: | 1938-2707 0009-9228 |
| DOI: | 10.1177/0009922814540987 |
| Popis: | Objective. Intervention to reduce nonurgent pediatric emergency department (PED) visits over a 12-month follow-up. Methods. Prospective, randomized, controlled trial enrolled children seen in the PED for nonurgent concerns. Intervention subjects received a structured session/handout specific to their primary care provider (PCP), which outlined ways to obtain medical advice. Visitation to the PED and PCP were followed over 12 months. Results. A total of 164 patients were assigned to the intervention and 168 patients to the control. At 12-month follow-up, the intervention group had a lower rate of nonurgent PED utilization compared with the control group (70 [43%] patients in the intervention compared with 91 [54%] in the control; P = .047). At 12 months, there was an increase in the rate of sick visits to PCP in the intervention group when compared with the control ( P = .036). Conclusions. Intervention designed in cooperation with pediatricians was able to decrease nonurgent PED utilization and redirect patients to their PCP for future sick visits over a 12-month period. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|