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

    Article - En anglais


    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.


    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.


    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.


    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.