Nonemergent Emergency Room Utilization for an Inner-City Pediatric Population
OBJECTIVE:To identify patient reasons for accessing an urban Pediatric Emergency Room (PER) for primary care and to explore attitudes and practice regarding alternative sources for their medical home. METHODS:A total of 210 questionnaires, consisting of 24 questions each, were completed in a face-to...
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| Veröffentlicht in: | Pediatric emergency care 2005-06, Vol.21 (6), p.363-366 |
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| container_title | Pediatric emergency care |
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| creator | Moon, Troy D Laurens, Matthew B Weimer, Stephen M Levy, Jerussa A |
| description | OBJECTIVE:To identify patient reasons for accessing an urban Pediatric Emergency Room (PER) for primary care and to explore attitudes and practice regarding alternative sources for their medical home.
METHODS:A total of 210 questionnaires, consisting of 24 questions each, were completed in a face-to-face interview performed by trained interviewers. Questions asked included sources of medical care, frequency of use, and factors that went into caregiver decisions for using different sources of care.
RESULTS:Caregivers choose the PER because of the short amount of time it takes for their child to be seen and discharged by a physician. Nearly 60% ranked wait time to see a doctor more important than seeing the same doctor every time (37.6%). About one-third of caregivers routinely brought their children to the PER for illness that is not serious. Only 77% of caregivers claimed that their children have a regular doctor. Many caregivers cited that they are seen more by their regular doctor for shots (well visits) than for ill visits and are seen in the PER for illness. In this study, 56% of children did not see the same regular doctor as their siblings.
CONCLUSIONS:Efficiency and speed of health care delivery is of prime importance to this primarily Medicaid urban population. If strategies are to be implemented to attract these patients to a medical home that will strengthen their ties to their regular doctor, then the needs prioritized by the caregiver must be taken into consideration. |
| doi_str_mv | 10.1097/01.pec.0000166725.76685.4a |
| format | Article |
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METHODS:A total of 210 questionnaires, consisting of 24 questions each, were completed in a face-to-face interview performed by trained interviewers. Questions asked included sources of medical care, frequency of use, and factors that went into caregiver decisions for using different sources of care.
RESULTS:Caregivers choose the PER because of the short amount of time it takes for their child to be seen and discharged by a physician. Nearly 60% ranked wait time to see a doctor more important than seeing the same doctor every time (37.6%). About one-third of caregivers routinely brought their children to the PER for illness that is not serious. Only 77% of caregivers claimed that their children have a regular doctor. Many caregivers cited that they are seen more by their regular doctor for shots (well visits) than for ill visits and are seen in the PER for illness. In this study, 56% of children did not see the same regular doctor as their siblings.
CONCLUSIONS:Efficiency and speed of health care delivery is of prime importance to this primarily Medicaid urban population. If strategies are to be implemented to attract these patients to a medical home that will strengthen their ties to their regular doctor, then the needs prioritized by the caregiver must be taken into consideration.</description><identifier>ISSN: 0749-5161</identifier><identifier>EISSN: 1535-1815</identifier><identifier>DOI: 10.1097/01.pec.0000166725.76685.4a</identifier><identifier>PMID: 15942512</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject><![CDATA[Adolescent ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Child ; Child, Preschool ; Educational Status ; Emergency and intensive care: neonates and children. Prematurity. Sudden death ; Emergency and intensive care: techniques, logistics ; Emergency Service, Hospital - statistics & numerical data ; Ethnic Groups - statistics & numerical data ; Family Characteristics ; Female ; Health Care Surveys ; Health Facility Environment ; Health Knowledge, Attitudes, Practice ; Health Services Misuse - statistics & numerical data ; Humans ; Infant ; Infant, Newborn ; Intensive care medicine ; Intensive care unit. Emergency transport systems. Emergency, hospital ward ; Louisiana ; Male ; Medical sciences ; Patient Satisfaction ; Preventive Health Services - statistics & numerical data ; Primary Health Care - statistics & numerical data ; Urban Population - statistics & numerical data ; Waiting Lists]]></subject><ispartof>Pediatric emergency care, 2005-06, Vol.21 (6), p.363-366</ispartof><rights>2005 Lippincott Williams & Wilkins, Inc.</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3922-ca793441980cde17866e2dabf394555053893fda2a10c16157b2e6f38b49420f3</citedby><cites>FETCH-LOGICAL-c3922-ca793441980cde17866e2dabf394555053893fda2a10c16157b2e6f38b49420f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16939388$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15942512$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moon, Troy D</creatorcontrib><creatorcontrib>Laurens, Matthew B</creatorcontrib><creatorcontrib>Weimer, Stephen M</creatorcontrib><creatorcontrib>Levy, Jerussa A</creatorcontrib><title>Nonemergent Emergency Room Utilization for an Inner-City Pediatric Population</title><title>Pediatric emergency care</title><addtitle>Pediatr Emerg Care</addtitle><description>OBJECTIVE:To identify patient reasons for accessing an urban Pediatric Emergency Room (PER) for primary care and to explore attitudes and practice regarding alternative sources for their medical home.
METHODS:A total of 210 questionnaires, consisting of 24 questions each, were completed in a face-to-face interview performed by trained interviewers. Questions asked included sources of medical care, frequency of use, and factors that went into caregiver decisions for using different sources of care.
RESULTS:Caregivers choose the PER because of the short amount of time it takes for their child to be seen and discharged by a physician. Nearly 60% ranked wait time to see a doctor more important than seeing the same doctor every time (37.6%). About one-third of caregivers routinely brought their children to the PER for illness that is not serious. Only 77% of caregivers claimed that their children have a regular doctor. Many caregivers cited that they are seen more by their regular doctor for shots (well visits) than for ill visits and are seen in the PER for illness. In this study, 56% of children did not see the same regular doctor as their siblings.
CONCLUSIONS:Efficiency and speed of health care delivery is of prime importance to this primarily Medicaid urban population. If strategies are to be implemented to attract these patients to a medical home that will strengthen their ties to their regular doctor, then the needs prioritized by the caregiver must be taken into consideration.</description><subject>Adolescent</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Educational Status</subject><subject>Emergency and intensive care: neonates and children. Prematurity. Sudden death</subject><subject>Emergency and intensive care: techniques, logistics</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>Ethnic Groups - statistics & numerical data</subject><subject>Family Characteristics</subject><subject>Female</subject><subject>Health Care Surveys</subject><subject>Health Facility Environment</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Services Misuse - statistics & numerical data</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Intensive care medicine</subject><subject>Intensive care unit. Emergency transport systems. Emergency, hospital ward</subject><subject>Louisiana</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Patient Satisfaction</subject><subject>Preventive Health Services - statistics & numerical data</subject><subject>Primary Health Care - statistics & numerical data</subject><subject>Urban Population - statistics & numerical data</subject><subject>Waiting Lists</subject><issn>0749-5161</issn><issn>1535-1815</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkN1u1DAQRi0EokvpK6AICe4S_DdOzB1alVKpQIXaa8vrTKjBiRc7UbU8fd3dldY39lhn5hsdQt4z2jCq20-UNVt0DS2HKdVyaFqlOmikfUFWDATUrGPwkqxoK3UNTLEz8ibnPwUHIcRrcsZASw6Mr8j3H3HCEdNvnObq8vBwu-pXjGN1P_vg_9vZx6kaYqrsVF1PE6Z67edddYu9t3PyrrqN2yXssbfk1WBDxovjfU7uv17erb_VNz-vrtdfbmonNOe1s60WUjLdUdcjazulkPd2MwgtAYCC6LQYessto66sD-2GoxpEt5FlbzqIc_LxMHeb4r8F82xGnx2GYCeMSzaq1cWU5gX8fABdijknHMw2-dGmnWHUPMs0lJki05xkmr1MI21pfndMWTYj9qfWo70CfDgCNjsbhmQn5_OJU1po0XWFkwfuMYYZU_4blkdM5gFtmB_20QoU1JxSoKpU9fMXF09aZo0O</recordid><startdate>200506</startdate><enddate>200506</enddate><creator>Moon, Troy D</creator><creator>Laurens, Matthew B</creator><creator>Weimer, Stephen M</creator><creator>Levy, Jerussa A</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200506</creationdate><title>Nonemergent Emergency Room Utilization for an Inner-City Pediatric Population</title><author>Moon, Troy D ; Laurens, Matthew B ; Weimer, Stephen M ; Levy, Jerussa A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3922-ca793441980cde17866e2dabf394555053893fda2a10c16157b2e6f38b49420f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Educational Status</topic><topic>Emergency and intensive care: neonates and children. Prematurity. Sudden death</topic><topic>Emergency and intensive care: techniques, logistics</topic><topic>Emergency Service, Hospital - statistics & numerical data</topic><topic>Ethnic Groups - statistics & numerical data</topic><topic>Family Characteristics</topic><topic>Female</topic><topic>Health Care Surveys</topic><topic>Health Facility Environment</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Services Misuse - statistics & numerical data</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Intensive care medicine</topic><topic>Intensive care unit. Emergency transport systems. Emergency, hospital ward</topic><topic>Louisiana</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Patient Satisfaction</topic><topic>Preventive Health Services - statistics & numerical data</topic><topic>Primary Health Care - statistics & numerical data</topic><topic>Urban Population - statistics & numerical data</topic><topic>Waiting Lists</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moon, Troy D</creatorcontrib><creatorcontrib>Laurens, Matthew B</creatorcontrib><creatorcontrib>Weimer, Stephen M</creatorcontrib><creatorcontrib>Levy, Jerussa A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric emergency care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moon, Troy D</au><au>Laurens, Matthew B</au><au>Weimer, Stephen M</au><au>Levy, Jerussa A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nonemergent Emergency Room Utilization for an Inner-City Pediatric Population</atitle><jtitle>Pediatric emergency care</jtitle><addtitle>Pediatr Emerg Care</addtitle><date>2005-06</date><risdate>2005</risdate><volume>21</volume><issue>6</issue><spage>363</spage><epage>366</epage><pages>363-366</pages><issn>0749-5161</issn><eissn>1535-1815</eissn><abstract>OBJECTIVE:To identify patient reasons for accessing an urban Pediatric Emergency Room (PER) for primary care and to explore attitudes and practice regarding alternative sources for their medical home.
METHODS:A total of 210 questionnaires, consisting of 24 questions each, were completed in a face-to-face interview performed by trained interviewers. Questions asked included sources of medical care, frequency of use, and factors that went into caregiver decisions for using different sources of care.
RESULTS:Caregivers choose the PER because of the short amount of time it takes for their child to be seen and discharged by a physician. Nearly 60% ranked wait time to see a doctor more important than seeing the same doctor every time (37.6%). About one-third of caregivers routinely brought their children to the PER for illness that is not serious. Only 77% of caregivers claimed that their children have a regular doctor. Many caregivers cited that they are seen more by their regular doctor for shots (well visits) than for ill visits and are seen in the PER for illness. In this study, 56% of children did not see the same regular doctor as their siblings.
CONCLUSIONS:Efficiency and speed of health care delivery is of prime importance to this primarily Medicaid urban population. If strategies are to be implemented to attract these patients to a medical home that will strengthen their ties to their regular doctor, then the needs prioritized by the caregiver must be taken into consideration.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>15942512</pmid><doi>10.1097/01.pec.0000166725.76685.4a</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Child Child, Preschool Educational Status Emergency and intensive care: neonates and children. Prematurity. Sudden death Emergency and intensive care: techniques, logistics Emergency Service, Hospital - statistics & numerical data Ethnic Groups - statistics & numerical data Family Characteristics Female Health Care Surveys Health Facility Environment Health Knowledge, Attitudes, Practice Health Services Misuse - statistics & numerical data Humans Infant Infant, Newborn Intensive care medicine Intensive care unit. Emergency transport systems. Emergency, hospital ward Louisiana Male Medical sciences Patient Satisfaction Preventive Health Services - statistics & numerical data Primary Health Care - statistics & numerical data Urban Population - statistics & numerical data Waiting Lists |
| title | Nonemergent Emergency Room Utilization for an Inner-City Pediatric Population |
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