To examine relations between characteristics of a child's usual source of primary care and involvement of that source before and during hospitalization.
Medical record review of pediatric hospitalizations.
All hospitals in Boston, Mass ; New Haven, Conn ; and Rochester, NY admitting children during the calendar years 1988 through 1990.
The study included 1875 randomly selected pediatric hospitalizations for five diagnostic groups (ie, asthma and other lower respiratory tract disease, abdominal pain [including appendicitis], meningitis [bacterial and viral], toxic ingestions, and head injury).
Hospital records selected were limited to children aged between 1 month and 12 years and residing in the three study communities.
Whether the primary care source examined the child before admission to the hospital, referred the child to the emergency department, or served as the in-hospital attending physician.
Of the medical charts reviewed, 85.7% identified primary care sources.
Children in Rochester had higher rates of medical visits before admission (P<. 04), referrals (P<. 001), and in-hospital care provided by the primary care physician (P<. 001, khi2) than children in Boston and New Haven.
Patterns of primary care involvement also varied by source of care within cities, after controlling for income and severity of illness. (...)
Mots-clés Pascal : Hospitalisation, Statut socioéconomique, Enfant, Homme, Premiers soins
Mots-clés Pascal anglais : Hospitalization, Socioeconomic status, Child, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0379213
Code Inist : 002B30A01C. Création : 10/04/1997.