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Published on: August 1, 2019
Tired of seeing your patients in the ED? Let's give parent education another look!
Insights
A parent-focused educational booklet significantly reduced emergency department (ED) visits for infants. This intervention improved primary care (PC) utilization, offering a cost-effective strategy for pediatric care management.
Area of Science:
- Pediatrics
- Health Services Research
- Health Education
Background:
- Emergency department (ED) services are frequently utilized for pediatric care.
- Parental education can influence healthcare-seeking behaviors.
- Optimizing primary care (PC) utilization is crucial for efficient healthcare delivery.
Purpose of the Study:
- To evaluate the effectiveness of a parent-oriented educational intervention in reducing ED service use for infants.
- To assess the impact of targeted educational materials on pediatric healthcare utilization patterns.
- To determine if an educational booklet influences the choice between ED and PC for infant care.
Main Methods:
- A prospective study involving infants (7 days to 1 year) and older children across three primary care (PC) practices.
- An educational intervention booklet was provided to parents of infants in the study group; control groups received standard information.
- Monthly ED utilization rates (ED visits/PC visits) were calculated and compared using a difference of proportions test.
Main Results:
- Parents receiving the educational intervention booklet demonstrated significantly lower use of ED services for their infants compared to control groups (P < .05).
- No significant change in ED utilization was observed for children whose parents received other standard educational materials.
- The intervention effectively shifted care-seeking behavior from ED to PC for infants.
Conclusions:
- Parent-oriented educational interventions, specifically targeted booklets, can effectively reduce unnecessary emergency department visits for infants.
- This approach enhances primary care (PC) utilization and represents a potentially cost-effective strategy for managing pediatric healthcare needs.
- Targeted health education empowers parents to make informed decisions regarding their child's healthcare, optimizing resource allocation.
Abstract:
This study was conducted to determine if a parent-oriented educational intervention reduces the use of emergency department (ED) services for the care of infants. Infants aged 7 days to 1 year and older children aged 2 to 10 years were tracked for 3 years in two separate primary care (PC) practices in Washington County, Texas, with the last year being the interventional study period. Also, infants aged 7 days to 1 year and older children aged 7 days to 5 years were tracked in a third PC practice in Burleson County, Texas. The study group consisted of all parents of patients aged 7 days to 1 year seen by the pediatric group in Washington County during the 1-year interventional period. Only parents of infants in the study group received a specific educational intervention booklet. Five separate control groups were followed in this study. The control groups received usual care with standardized patient information, but they did not receive the educational intervention booklet. Each group was evaluated by calculating its monthly ED utilization rate, which is the quotient derived from dividing the number of children from that particular group seen in the ED per month by the number of children from the same group seen in the PC clinic per month. A difference of proportions test was applied to test for statistical significance regarding ED utilization. Compared with parents in the control group, parents receiving the intervention booklet (the study group) showed significantly (P < .05) lower use of ED services for care of their infants. We found no change in ED utilization for children of parents receiving other standard educational information.
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