Common step-wise interventions improved primary care clinic visits and reduced emergency department discharge failures: a large-scale retrospective observational study
| Autor: | Sajid Shaikh, Somer Blair, Amy F. Ho, James P d'Etienne, Hao Wang, Jessica J Kirby, Richard D. Robinson, Radhika Cheeti, Chet D. Schrader, Nestor R. Zenarosa |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Clinical compliance Psychological intervention Health informatics Health administration 03 medical and health sciences 0302 clinical medicine Ambulatory Care medicine Humans 030212 general & internal medicine Interventions Retrospective Studies Emergency department business.industry lcsh:Public aspects of medicine 030503 health policy & services Health Policy Public health Nursing research Primary care physician lcsh:RA1-1270 Retrospective cohort study Middle Aged Discharge failure Quality Improvement Patient Discharge Emergency medicine Patient Compliance Female Emergency Service Hospital 0305 other medical science business Research Article |
| Zdroj: | BMC Health Services Research, Vol 19, Iss 1, Pp 1-11 (2019) BMC Health Services Research |
| ISSN: | 1472-6963 |
| DOI: | 10.1186/s12913-019-4300-1 |
| Popis: | Background It is critical to understand whether providing health insurance coverage, assigning a dedicated Primary Care Physician (PCP), and arranging timely post-Emergency Department (ED) clinic follow-up can improve compliance with clinic visits and reduce ED discharge failures. We aim to determine the benefits of providing these common step-wise interventions and further investigate the necessity of urgent PCP referrals on behalf of ED discharged patients. Methods This is a single-center retrospective observational study. All patients discharged from the ED over the period Jan 1, 2015 through Dec 31, 2017 were included in the study population. Step-wise interventions included providing charity health insurance, assigning a dedicated PCP, and providing ED follow-up clinics. PCP clinic compliance and ED discharge failures were measured and compared among groups receiving different interventions. Result A total of 227,627 patients were included. Fifty-eight percent of patients receiving charity insurance had PCP visits in comparison to 23% of patients without charity insurance (p |
| Databáze: | OpenAIRE |
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