Is continuity of care preserved in children who utilize the pediatric emergency department ?
Inner city families often use multiple sites for nonemergent medical care, including the pediatric emergency department.
This practice raises concerns about continuity of care.
The present study examined one aspect of continuity of care : Do children who receive care in a pediatric emergency department return to their primary care site so that appropriate follow up may be obtained ?
Over a 4-week period two groups of neighborhood health center children were studied : Those who sought care at the pediatric emergency department and those who were « walk-ins » at the health centers.
All visits during the 4-week study period which resulted in a recommendation for the child to be seen within 6 weeks at the health centers were included in the analysis.
During the study period there were 87 patient visits to the pediatric emergency department with a documented physician instruction to be seen at their health center within 6 weeks.
In 66 (76%) of the cases, the patient was seen at one of the health centers during the 6 weeks following the pediatric emergency department visit.
There were 146 « walk-in » visits to the health centers with a documented physician instruction to be seen again at the health centers during the 6 weeks following the walk-in visit.
In 111 (76%) of the cases, the patient was seen during the 6-week period.
Mots-clés Pascal : SAMU, Etats Unis, Consultation hospitalière, Evaluation, Soin santé primaire, Enfant, Continuité des soins, Amérique du Nord, Amérique, Homme, Service hospitalier
Mots-clés Pascal anglais : Emergency medical care unit, United States, Hospital consultation, Evaluation, Primary health care, Child, Continuity of care, North America, America, Human, Hospital ward
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0103752
Code Inist : 002B30A11. Création : 09/06/1995.