logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Lack of a regular source of care among children using a public hospital emergency department.

    Article - En anglais

    Objectives 

    This study examined risk factors for not having a regular source of care among children presenting to an urban public hospital for nonappointment care.

    Lack of a regular source of care is associated with decreased use of appropriate health care services and preventive care among children.

    Methods 

    A cross-sectional survey was conducted for all children less than 16 years of age attending an emergency department at an urban public hospital over a consecutive 7-day period.

    Univariate and multivariate logistic regression analyses were conducted.

    Results 

    In 791 interviews available for analysis, 52% of preschool children and 66% of school-aged children did not have a regular source of care.

    Children without a regular source of care were more likely to present for nonurgent conditions (P<0.0005).

    In multivariate analysis, older age of the child (OR=1.6,95% CI 1.13-2.25), lack of insurance (OR=1.47,95% CI 1.03-2.11), and lack of personal vehicle (OR=1.44,95% CI 1.05-1.97) were associated with not having a regular source of care.

    Conclusions 

    The majority of children using an urban emergency department were without a regular source of care.

    In this population, no single factor identified children without a regular source of care, but increased age and lack of insurance were associated with it.

    Addressing this situation will require a multifaceted approach that includes, but is not limited to, decreasing financial barriers.

    Mots-clés Pascal : Urgence, Service hospitalier, Hôpital, Soin santé primaire, Facteur risque, Régularité, Consultation hospitalière, Enfant, Homme

    Mots-clés Pascal anglais : Emergency, Hospital ward, Hospital, Primary health care, Risk factor, Regularity, Hospital consultation, Child, Human

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

    Cote : 99-0154373

    Code Inist : 002B30A03B. Création : 16/11/1999.