Risk Factors for Emergency Department Use Among Children With Asthma Using Primary Care in a Managed Care Environment

Background. The American Academy of Pediatrics and pediatric community recognize the importance of addressing social determinants of health. There are limited data on the prevalence of food insecurity or literature establishing protocols assessing food insecurity in the emergency department (ED). Methods. Two anonymous surveys were administered, one to families during their ED visit and another to ED staff to assess perceptions on the ED’s role in providing social support. Results. Thirty-three of 214 respondents (15.4%) reported food insecurity and are associated with economic risk factors ( P < .0001) and a lack of primary care ( P = .008). Overall, 83.2% of the ED staff believed knowing information about families’ social risk factors would help patient care and 77.6% believed that the ED staff should address families’ social needs. Conclusions. Food insecurity affects a significant portion of ED families across income ranges. Screening for food insecurity in the ED is important given association with lack of primary care. Hospital staff supports screening and intervention.

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Distances to Emergency Department and to Primary Care Provider’s Office Affect Emergency Department Use in Children

Academic Emergency Medicine ◽

10.1111/j.1553-2712.2009.00395.x ◽

2009 ◽

Vol 16 (5) ◽

pp. 411-417 ◽

Cited By ~ 41

Author(s):

Annameika Ludwick ◽

Rongwei Fu ◽

Craig Warden ◽

Robert A. Lowe

Keyword(s):

Primary Care ◽

Emergency Department ◽

Emergency Department Use

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Diabetic team and primary care staff cooperation in a managed care environment

Diabetes Research and Clinical Practice ◽

10.1016/s0168-8227(00)81384-4 ◽

2000 ◽

Vol 50 ◽

pp. 406-407

Author(s):

H Khanina-Drozdov

Keyword(s):

Primary Care ◽

Managed Care ◽

Care Staff ◽

Care Environment ◽

Primary Care Staff

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Visits to Primary Care and Emergency Department Reliance for Foster Youth: Impact of Medicaid Managed Care

Academic Pediatrics ◽

10.1016/j.acap.2017.10.005 ◽

2018 ◽

Vol 18 (4) ◽

pp. 397-404

Author(s):

Melissa A. Bright ◽

Lawrence Kleinman ◽

Bruce Vogel ◽

Elizabeth Shenkman

Keyword(s):

Primary Care ◽

Emergency Department ◽

Managed Care ◽

Foster Youth ◽

Medicaid Managed Care

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A proposed managed-care curriculum for podiatric residencies

Journal of the American Podiatric Medical Association ◽

10.7547/87507315-89-4-199 ◽

1999 ◽

Vol 89 (4) ◽

pp. 199-211

Author(s):

SD Chinn

Keyword(s):

Primary Care ◽

Managed Care ◽

Clinical Management ◽

Educational Experience ◽

Faculty Members ◽

Care Environment ◽

Residency Programs ◽

Primary Care Residency

This article describes a curriculum that could be included in podiatric residencies to help residents function successfully in a managed-care environment. Various groups have identified and implemented the competencies necessary to function within such an environment. Podiatric residents, who are well trained in the clinical management of podiatric problems, can succeed in a managed-care environment if residency programs include training objectives and methods to address these competencies. This article describes the managed-care components of two primary-care residency programs and a podiatric program and proposes a managed-care curriculum for podiatric residencies. The author's goal is to educate residency directors and faculty members on possible objectives and methods that can enhance the podiatric resident's educational experience and knowledge of managed care.

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