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Understanding Variation In Nonurgent Pediatric Emergency Department Use In Communities With Concentrated Disadvantage.
Ray, Kristin N; Yahner, Kristin A; Bey, Jamil; Martin, Katherine C; Planey, Arrianna M; Culyba, Alison J; Miller, Elizabeth.
Afiliación
  • Ray KN; Kristin N. Ray (kristin.ray@chp.edu) is an associate professor in the Department of Pediatrics, University of Pittsburgh School of Medicine and UPMC Children's Hospital of Pittsburgh, in Pittsburgh, Pennsylvania.
  • Yahner KA; Kristin A. Yahner is the General Academic Pediatrics Division data center coordinator, Department of Pediatrics, University of Pittsburgh School of Medicine.
  • Bey J; Jamil Bey is the president and CEO of the UrbanKind Institute, in Pittsburgh, Pennsylvania.
  • Martin KC; Katherine C. Martin is a fourth-year medical student at the University of Pittsburgh School of Medicine.
  • Planey AM; Arrianna M. Planey is an assistant professor in the Department of Health Policy and Management at the Gillings School of Global Public Health, University of North Carolina at Chapel Hill, in Chapel Hill, North Carolina.
  • Culyba AJ; Alison J. Culyba is an assistant professor in the Department of Pediatrics, University of Pittsburgh School of Medicine and UPMC Children's Hospital of Pittsburgh.
  • Miller E; Elizabeth Miller is a professor in the Department of Pediatrics, University of Pittsburgh School of Medicine and UPMC Children's Hospital of Pittsburgh.
Health Aff (Millwood) ; 40(1): 156-164, 2021 01.
Article en En | MEDLINE | ID: mdl-33400581
Children in communities with concentrated socioeconomic and structural disadvantage tend to have elevated rates of nonurgent visits to emergency departments (EDs). Using a spatial regression model of 264 census block groups in Pittsburgh, Pennsylvania, we investigated sociodemographic and structural factors associated with lower-than-expected ("low utilization") versus higher-than-expected ("high utilization") nonurgent ED visit rates among children in block groups with concentrated disadvantage. Compared with high-utilization block groups, low-utilization block groups had higher percentages of households with two adults, high school graduates, access to vehicles, sound housing quality, and owner-occupied housing. Notably, low-utilization block groups did not differ significantly from high-utilization block groups either in the percentage of households located within very close proximity to public transit or primary care or in children's health insurance coverage rates. Stakeholders wishing to reduce pediatric nonurgent ED visits among families in communities of concentrated disadvantage should consider strategies to mitigate financial, time, transportation, and health literacy constraints that may affect families' access to primary care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicio de Urgencia en Hospital / Alfabetización en Salud Tipo de estudio: Prognostic_studies Límite: Adult / Child / Humans País/Región como asunto: America do norte Idioma: En Revista: Health Aff (Millwood) Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicio de Urgencia en Hospital / Alfabetización en Salud Tipo de estudio: Prognostic_studies Límite: Adult / Child / Humans País/Región como asunto: America do norte Idioma: En Revista: Health Aff (Millwood) Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos