Lack of a regular source of care among children using a public hospital emergency department.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0154373
Code Inist : 002B30A03B. Création : 16/11/1999.