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

PloS One
Jean YoonLisa V Rubenstein

Abstract

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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Jul 10, 2019·Population Health Management·Matthew R AugustineEdwin S Wong
Mar 13, 2019·International Journal of Health Care Quality Assurance·Paul WalleySharon Williams
Nov 5, 2019·The International Journal of Health Planning and Management·Alvaro Almeida, Joana Vales
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Dec 11, 2020·The Journal of Arthroplasty·Naomi Maldonado-RodriguezTimothy S Leroux

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