Navigation Links
Extended primary care office hours might help keep kids out of the emergency department
Date:6/19/2013

Ann Arbor, Mich. Children had half as many emergency department visits if their primary care office had evening office hours on five or more days a week, according to new research from child health experts at C.S. Mott Children's Hospital and Johns Hopkins University.

The new study was published online this month in The Journal of Pediatrics and will be presented at the AcademyHealth Annual Research Meeting.

"These findings are an important step in understanding where primary care practices and medical home programs can be most effective in making changes to enhance access," says U-M pediatrician Joe Zickafoose, M.D., M.S., formerly a research fellow with the Child Health Evaluation and Research Unit at the University of Michigan C.S. Mott Children's Hospital and now a health researcher with Mathematica Policy Research in Ann Arbor, Mich.

Primary care practices for children around the country are working on ways to make it easier for families to communicate with the practice to get advice and make an appointment. A key goal of these efforts is to help parents avoid the stress and expense of unnecessary emergency department visits, and extending office hours into the evening might be an effective way to do this, says Zickafoose.

Efforts around the country to improve health care for children have increasingly focused on the "medical home" as a model to make primary care practices more accessible, comprehensive, and focused on quality improvement. A central aspect of the medical home approach is to enhance families' options for accessing their child's primary care practice, including 24-hour phone advice, email or patient portal communication, same-day sick visits, and evening and weekend office hours.

The investigators found that many parents did not know whether enhanced access services were available in their child's primary care office. Children whose parents reported that their offices had evening hours most nights of the week had half the number of emergency department visits compared to other children even after adjusting for factors such as health insurance and household income. But, only half of parents knew whether their child's office was open after 5 PM.

Recent studies have shown that extended office hours seem to decrease emergency department use and some health care costs in adults, but no large studies have looked at practices for children.

The types of changes practices need to make to enhance access can be costly and time consuming, so information about the most effective changes could help practices decide where to commit their resources, Zickafoose says.

Data used in the study came from a national survey of parents. In the survey, parents were asked about characteristics of their child's primary care practice, including 24-hour phone advice, email or patient portal communication, same-day sick visits, and evening and weekend office hours. They were also asked how many times they needed to take their child to the emergency department in the 12 months prior to the survey.

The investigators looked at the association between parents' reports of the "enhanced access services" and the child's emergency department visits, controlling for other factors that are frequently associated with emergency department use.

In this study, other enhanced access services, such as same-day sick visits, were not associated with the rate of emergency department visits.

"We hope that our study encourages parents and primary care practices to communicate more about when the office is open and when they can call for advice," says Zickafoose, lead author of the study.


'/>"/>

Contact: Mary F. Masson
mfmasson@umich.edu
734-764-2220
University of Michigan Health System
Source:Eurekalert

Related medicine news :

1. Vapor Steam Cleaner Accessories Sale Extended Through June 30th at LadybugSteamCleaners.com
2. Humidifiers.com has Now Extended their Summer Line with the Sleek, Modern Product Line, Stadler Form
3. MadgeTech, Inc. Introduces the New Extended Temperature Range for the HiTemp140 Data Logger Series
4. Grapplers Inc. Announces an Industrial Grade Grappler And Extended Reach Tool For The Most Extreme Conditions Is Now Available
5. HGHhelp.info Promotion for GenF20 Plus Platinum Package Extended
6. Norah Guide Expands Transit Guide Reports for Extended Readings to Customers
7. Delkin Devices Inc. Announces SPAN™ Extended Life Cycle Industrial Storage Product Line
8. Morning vs nighttime replacement affects adverse events with extended-wear contact lenses
9. Family Doctors from Front Range Primary Care Now Offer Extended Hours at Trinidad, Colorado Location
10. High prevalence of NSAID prescription in those at risk of heart attack/death in primary care
11. Online USA Doctors Introduces a Convenient and Affordable Alternative to Office Visits with Primary Care Physicians
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... The Visiting Nurse Association ... Featuring a collection of specialty vendors and unique items from across the nation, this ... health and wellness services offered by the VNA. The boutique will be open ...
(Date:10/13/2017)... ... October 13, 2017 , ... Yisrayl Hawkins, Pastor and Overseer at The House ... most popular and least understood books in the Holy Scriptures, Revelation. The Book of ... baffled scholars for centuries. Many have tossed it off as mere rubbish, but Yisrayl ...
(Date:10/13/2017)... ... , ... “The Journey: From the Mountains to the Mission Field”: the story ... the Philippines. “The Journey: From the Mountains to the Mission Field” is the creation ... has taught all ages and currently teaches a class of ladies at her church, ...
(Date:10/12/2017)... ... October 12, 2017 , ... CitiDent and San Francisco ... using cutting-edge Oventus O2Vent technology. As many as 18 million Americans are estimated ... in breathing. Oral appliances can offer significant relief to about 75 percent of ...
(Date:10/12/2017)... ... October 12, 2017 , ... IsoComforter, Inc. ( https://isocomforter.com ), ... of an innovative new design of the shoulder pad. The shoulder pad provides ... while controlling your pain while using cold therapy. By utilizing ice and water that ...
Breaking Medicine News(10 mins):
(Date:9/25/2017)... Sept. 25, 2017   Montrium , an ... solutions, today—from the IQPC Trial Master Files & ... NL)—announced that EastHORN Clinical Services has selected ... and TMF management. EastHORN, a leading European contract ... to increase transparency to enable greater collaboration with ...
(Date:9/22/2017)... -- AVACEN Medical (AVACEN) announced that its CE-Marked AVACEN ... with the widespread pain associated with fibromyalgia in the ... Essex, England commented, "I had difficulty ... sleep at all, tremendous pain, with every movement sending ... AVACEN 100] enough, how this has and is helping ...
(Date:9/18/2017)... PROVIDENCE, R.I. , Sept. 18, 2017 ... in the fields of bioinformatics and immune ... to develop a protective avian influenza A (H7N9) vaccine. ... is distantly related to seasonal influenza and ... approaches, which rely on prior exposure to be ...
Breaking Medicine Technology: