Health Care Access Barriers Bring Children to Emergency Rooms More Frequently: A Representative Survey

Population Health Management
Thom Taylor, Daria Salyakina

Abstract

Children may visit the emergency department (ED) regularly in part because they and their caregivers may be experiencing barriers to appropriate and timely pediatric care. However, assessing the wide range of potential barriers to access to care that children and their caregivers may experience is often a challenge. The objective of this study was to assess the barriers to pediatric health care reported by caregivers and to examine the association between those reported barriers to care with the frequency of children's ED visits in the past 12 months. Assessment of ED utilization and access to care barriers was made through a telephone interview survey conducted as part of a broader Community Health Needs Assessment in 2015. A weighted community sample of adult caregivers (N = 1057) of children between the ages of 0-17 residing in Miami-Dade, Broward, and Palm Beach counties, Florida were contacted. This study found that multiple ED visits (≥2 vs. 0) in the past 12 months by a child were most strongly associated with access to care barriers attributed to language and culture (relative risk [RR] = 2.51), trouble finding a doctor (RR = 1.86), scheduling an appointment (RR = 1.68), and transportation access (RR = 1.73). These find...Continue Reading

References

Jul 27, 1999·Journal of General Internal Medicine·L S MoralesR D Hays
Dec 15, 2000·Archives of Family Medicine·K PhelpsS Puczynski
Jan 25, 2005·The American Journal of Emergency Medicine·Alexander J RogersHarold K Simon
Feb 9, 2005·Pediatric Emergency Care·Karen P ZimmerCynthia S Minkovitz
Jul 29, 2005·The New England Journal of Medicine·Lynn M OlsonPaul W Newacheck
Jul 1, 2006·American Journal of Public Health·Stella M YuRebecca M Nyman
Aug 30, 2006·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Jeanette A Stingone, Luz Claudio
Jun 3, 2009·Archives of Pediatrics & Adolescent Medicine·Michael L NanceCharles C Branas
Nov 1, 2011·Bioinformatics·Daniel J Stekhoven, Peter Bühlmann
Oct 2, 2012·Pediatric Emergency Care·Katrina KubicekMichele D Kipke
Apr 2, 2013·Journal of Community Health·Samina T SyedLisa K Sharp
Aug 29, 2013·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Erin KeelyAmir Afkham
Oct 17, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Sofie Rahman MorganJesse M Pines
Apr 16, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Elizabeth R AlpernUNKNOWN Pediatric Emergency Care Applied Research Network (PECARN)
May 6, 2014·JAMA : the Journal of the American Medical Association·Tina L ChengNeal Halfon
Sep 17, 2014·Pediatrics·Mark I NeumanJay G Berry
Jun 18, 2015·PloS One·Ken J FarionNicholas Barrowman
Aug 14, 2015·American Journal of Public Health·Jonathan D CampbellJames Krieger
Sep 1, 2015·Pediatric Clinics of North America·Aimee M GraceTina L Cheng
Nov 21, 2015·Risk Management and Healthcare Policy·Karen HackerLeah Zallman
Feb 26, 2016·Medical Care·Lindsay Allen, Janet Cummings
Nov 20, 2016·Health Policy·Koen Van den Heede, Carine Van de Voorde
Mar 3, 2017·Pediatrics·Charlene A WongDaniel Polsky

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Citations

Nov 5, 2020·Journal of the American College of Emergency Physicians Open·Margaret E Samuels-KalowCarlos A Camargo
May 19, 2021·BMC Health Services Research·Nithin RaviKristin N Ray

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