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Clin Pediatr (Phila). 2014 Sep;53(10):988-94. doi: 10.1177/0009922814540987. Epub 2014 Jul 8.

Reconnecting patients with their primary care provider: an intervention for reducing nonurgent pediatric emergency department visits.

Author information

1
Connecticut Children's Medical Center, West Hartford, CT, USA University of Connecticut School of Medicine, Farmington, CT, USA jesse.sturm@gmail.com.
2
Children's Healthcare of Atlanta, Atlanta, GA, USA Emory University School of Medicine, Atlanta, GA, USA.
3
Kids Health First Primary Care Network, Atlanta, GA, USA.

Abstract

OBJECTIVE:

Intervention to reduce nonurgent pediatric emergency department (PED) visits over a 12-month follow-up.

METHODS:

Prospective, randomized, controlled trial enrolled children seen in the PED for nonurgent concerns. Intervention subjects received a structured session/handout specific to their primary care provider (PCP), which outlined ways to obtain medical advice. Visitation to the PED and PCP were followed over 12 months.

RESULTS:

A total of 164 patients were assigned to the intervention and 168 patients to the control. At 12-month follow-up, the intervention group had a lower rate of nonurgent PED utilization compared with the control group (70 [43%] patients in the intervention compared with 91 [54%] in the control; P = .047). At 12 months, there was an increase in the rate of sick visits to PCP in the intervention group when compared with the control (P = .036).

CONCLUSIONS:

Intervention designed in cooperation with pediatricians was able to decrease nonurgent PED utilization and redirect patients to their PCP for future sick visits over a 12-month period.

KEYWORDS:

emergency department use; health care utilization

PMID:
25006110
DOI:
10.1177/0009922814540987
[Indexed for MEDLINE]

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