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  1. Primary care involvement among hospitalized children.

    Article - En anglais

    Objective 

    To examine relations between characteristics of a child's usual source of primary care and involvement of that source before and during hospitalization.

    Design 

    Medical record review of pediatric hospitalizations.

    Setting 

    All hospitals in Boston, Mass ; New Haven, Conn ; and Rochester, NY admitting children during the calendar years 1988 through 1990.

    Patients 

    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.

    Outcome Measures 

    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.

    Results 

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0379213

    Code Inist : 002B30A01C. Création : 10/04/1997.