Journal article
Parental perceptions of avoidability of their child's emergency department visit
Emergency medicine journal : EMJ, Vol.33(5), pp.313-318
05/2016
DOI: 10.1136/emermed-2015-204790
PMID: 26249669
Abstract
To identify the factors associated with paediatric emergency department (ED) visits and parental perceptions of the avoidability of their child's ED visit. Cross-sectional study by performing secondary analysis of 2010-2011 Iowa Child and Family Household Health Survey data. State-wide representative population-based sample of families with at least one child in the state of Iowa in the USA. Among the eligible households, 2386 families completed the survey, yielding a cooperation rate of 80%. Presence of a medical home. Child visiting an ED in the past year; parents believing that ED care could have been provided in a primary-care setting. Among children who needed medical care in the past year, 26% visited an ED. Younger children, non-Hispanic black children, non-Hispanic others, children whose parents were not married, children who were from food-insecure households and had poorer health status were more likely to visit an ED. Having a medical home was not associated with ED visits (OR=0.80, 95% CI 0.61 to 1.04), even after stratifying by the child's health status. About 69% of parents who took their child to an ED agreed that ED care could have been provided in a primary-care setting. Parents of children with public insurance, those who were not referred to the ED and those who could not get routine care appointments were more likely to report a primary-care preventable ED visit. The majority of parents believed that paediatric ED visits could be avoided if adequate primary-care alternatives were available. Expanding access to primary care could lead to a reduction in avoidable ED visits by children.
Details
- Title: Subtitle
- Parental perceptions of avoidability of their child's emergency department visit
- Creators
- Astha Singhal - Department of Preventive and Community Dentistry, College of Dentistry, University of Iowa, Iowa City, Iowa, USA Public Policy Center, University of Iowa, Iowa City, Iowa, USADaniel J Caplan - Department of Preventive and Community Dentistry, College of Dentistry, University of Iowa, Iowa City, Iowa, USAMichael P Jones - Department of Biostatistics, College of Public Health, University of Iowa, Iowa City, Iowa, USARaymond A Kuthy - Department of Preventive and Community Dentistry, College of Dentistry, University of Iowa, Iowa City, Iowa, USA Public Policy Center, University of Iowa, Iowa City, Iowa, USAElizabeth T Momany - Public Policy Center, University of Iowa, Iowa City, Iowa, USAChristopher T Buresh - Department of Emergency Medicine, College of Medicine, University of Iowa, Iowa City, Iowa, USAPeter C Damiano - Department of Preventive and Community Dentistry, College of Dentistry, University of Iowa, Iowa City, Iowa, USA Public Policy Center, University of Iowa, Iowa City, Iowa, USA
- Resource Type
- Journal article
- Publication Details
- Emergency medicine journal : EMJ, Vol.33(5), pp.313-318
- Publisher
- England
- DOI
- 10.1136/emermed-2015-204790
- PMID
- 26249669
- ISSN
- 1472-0205
- eISSN
- 1472-0213
- Language
- English
- Date published
- 05/2016
- Academic Unit
- Statistics and Actuarial Science; Preventive and Community Dentistry; Health Management and Policy; Emergency Medicine; Biostatistics; Public Policy Center (Archive); University College Courses
- Record Identifier
- 9983917684302771
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