Pediatric non-urgent emergency department visits and prior care-seeking at primary care

Autor: Nithin Ravi, Katherine M. Gitz, Danielle R. Burton, Kristin N. Ray
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: BMC Health Services Research, Vol 21, Iss 1, Pp 1-11 (2021)
Druh dokumentu: article
ISSN: 1472-6963
DOI: 10.1186/s12913-021-06480-7
Popis: Abstract Background We aimed to examine how caregiver perceptions of primary care affects care-seeking prior to pediatric non-urgent ED visits. Methods We performed a cross-sectional survey of caregivers of children presenting to a pediatric ED during weekday business hours and triaged as low acuity. We first compared caregiver sociodemographic characteristics, perceptions of primary care, and stated preference in care sites (ED vs PCP) for caregivers who had sought care from their child’s PCP office versus had not sought care from their child’s PCP office prior to their ED visit. We then examined odds of having sought care from their PCP office prior to their ED visit using multivariable logistic regression models sequentially including caregiver primary care perceptions and stated care site preferences along with caregiver sociodemographic characteristics. Results Of 140 respondents, 64 (46%) sought care from their child’s PCP office prior to presenting to the ED. In unadjusted analysis, children insured by Medicaid or CHIP, caregivers identifying as Black, and caregivers with lower educational attainment were less likely to have sought PCP care before presenting to the ED (p
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