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Related Concept Videos

Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
The Availability Heuristic01:08

The Availability Heuristic

A heuristic is a general problem-solving framework (Tversky & Kahneman, 1974). You can think of these as mental shortcuts that are used to solve problems. Different types of heuristics are used in different types of situations, and the impulse to use a heuristic occurs when one of five conditions is met (Pratkanis, 1989):

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Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
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Association Between Primary Care Access and Emergency Department Utilization.

Lukas K Gaffney1, Todd W Lyons1, Michael C Monuteaux1

  • 1Division of Emergency Medicine, Boston Children's Hospital and Harvard Medical School, Boston, MA.

The Journal of Pediatrics
|June 8, 2026
PubMed
Summary
This summary is machine-generated.

Children without a primary care pediatrician (PCP) are more likely to rely on the emergency department (ED) for care, but this does not increase the frequency of ED visits. Improving PCP access is key for better healthcare resource allocation.

Keywords:
emergency careemergency department reliancehealth care utilizationprimary care

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Clinical Application of Phase Angle and BIVA Z-Score Analyses in Patients Admitted to an Emergency Department with Acute Heart Failure

Published on: June 30, 2023

Area of Science:

  • Pediatric Healthcare
  • Health Services Research
  • Public Health

Background:

  • Access to primary care pediatrician (PCP) services is crucial for children's health.
  • Emergency department (ED) utilization among children is a significant healthcare concern.
  • Understanding factors influencing ED use is vital for optimizing healthcare delivery.

Purpose of the Study:

  • To investigate the association between primary care pediatrician (PCP) access and emergency department (ED) utilization and reliance in children.
  • To determine if lack of PCP, limited after-hours availability, or distance to care impacts ED utilization and reliance.

Main Methods:

  • Retrospective, cross-sectional study of non-elective pediatric visits (2021-2022) using the Medical Expenditure Panel Survey.
  • Primary outcomes: frequent ED utilization (>2 visits/year) and high ED reliance (≥1/3 of visits in ED).
  • Logistic regression analysis adjusted for demographic factors and special healthcare needs.

Main Results:

  • Lack of PCP was significantly associated with high ED reliance (aOR 1.78; 95% CI 1.26-2.50).
  • No significant association was found between lack of PCP and frequent ED utilization (aOR 0.60; 95% CI 0.34-1.08).
  • For children with a PCP, factors like travel time and after-hours availability did not correlate with ED utilization or reliance.

Conclusions:

  • Lack of primary care pediatrician (PCP) access strongly correlates with increased reliance on the emergency department (ED) for pediatric care.
  • This association does not extend to increased frequency of ED visits.
  • Findings suggest targeted interventions to improve PCP access can reduce ED reliance in specific pediatric populations.