The Relationship between Same-Day Access and Continuity in Primary Care and Emergency Department Visits

We examined how emergency department (ED) visits for potentially preventable, mental health, and other diagnoses were related to same-day access and provider continuity in primary care using administrative data from 71,296 patients in 22 VHA clinics over a three-year period. ED visits were categoriz...

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Detalles Bibliográficos
Autores principales: Yoon, Jean, Cordasco, Kristina M., Chow, Adam, Rubenstein, Lisa V.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2015
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4557991/
https://www.ncbi.nlm.nih.gov/pubmed/26332981
http://dx.doi.org/10.1371/journal.pone.0135274
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author Yoon, Jean
Cordasco, Kristina M.
Chow, Adam
Rubenstein, Lisa V.
author_facet Yoon, Jean
Cordasco, Kristina M.
Chow, Adam
Rubenstein, Lisa V.
author_sort Yoon, Jean
collection PubMed
description We examined how emergency department (ED) visits for potentially preventable, mental health, and other diagnoses were related to same-day access and provider continuity in primary care using administrative data from 71,296 patients in 22 VHA clinics over a three-year period. ED visits were categorized as non-emergent; primary care treatable; preventable; not preventable; or mental health-related. We conducted multi-level regression models adjusted for patient and clinic factors. More same-day access significantly predicted fewer non-emergent and primary care treatable ED visits while continuity was not significantly related to any type of ED visit. Neither measure was related to ED visits for mental health problems.
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spelling pubmed-45579912015-09-10 The Relationship between Same-Day Access and Continuity in Primary Care and Emergency Department Visits Yoon, Jean Cordasco, Kristina M. Chow, Adam Rubenstein, Lisa V. PLoS One Research Article We examined how emergency department (ED) visits for potentially preventable, mental health, and other diagnoses were related to same-day access and provider continuity in primary care using administrative data from 71,296 patients in 22 VHA clinics over a three-year period. ED visits were categorized as non-emergent; primary care treatable; preventable; not preventable; or mental health-related. We conducted multi-level regression models adjusted for patient and clinic factors. More same-day access significantly predicted fewer non-emergent and primary care treatable ED visits while continuity was not significantly related to any type of ED visit. Neither measure was related to ED visits for mental health problems. Public Library of Science 2015-09-02 /pmc/articles/PMC4557991/ /pubmed/26332981 http://dx.doi.org/10.1371/journal.pone.0135274 Text en https://creativecommons.org/publicdomain/zero/1.0/ This is an open-access article distributed under the terms of the Creative Commons Public Domain declaration, which stipulates that, once placed in the public domain, this work may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose.
spellingShingle Research Article
Yoon, Jean
Cordasco, Kristina M.
Chow, Adam
Rubenstein, Lisa V.
The Relationship between Same-Day Access and Continuity in Primary Care and Emergency Department Visits
title The Relationship between Same-Day Access and Continuity in Primary Care and Emergency Department Visits
title_full The Relationship between Same-Day Access and Continuity in Primary Care and Emergency Department Visits
title_fullStr The Relationship between Same-Day Access and Continuity in Primary Care and Emergency Department Visits
title_full_unstemmed The Relationship between Same-Day Access and Continuity in Primary Care and Emergency Department Visits
title_short The Relationship between Same-Day Access and Continuity in Primary Care and Emergency Department Visits
title_sort relationship between same-day access and continuity in primary care and emergency department visits
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4557991/
https://www.ncbi.nlm.nih.gov/pubmed/26332981
http://dx.doi.org/10.1371/journal.pone.0135274
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