Association of Lower Continuity of Care With Greater Risk of Emergency Department Use and Hospitalization in Children

PEDIATRICS ◽  
2001 ◽  
Vol 107 (3) ◽  
pp. 524-529 ◽  
Author(s):  
D. A. Christakis ◽  
L. Mell ◽  
T. D. Koepsell ◽  
F. J. Zimmerman ◽  
F. A. Connell
Keyword(s):  
Emergency Department ◽  
Continuity Of Care ◽  
Emergency Department Use

Family Physician Continuity of Care and Emergency Department Use in End-of-Life Cancer Care

Medical Care ◽  
2003 ◽  
Vol 41 (8) ◽  
pp. 992-1001 ◽  
Author(s):  
Frederick Burge ◽  
Beverley Lawson ◽  
Grace Johnston
Keyword(s):  
Emergency Department ◽  
End Of Life ◽  
Continuity Of Care ◽  
Family Physician ◽  
Cancer Care ◽  
Emergency Department Use

scholarly journals Continuity of Care, Follow-Up Care, and Outcomes among Breast Cancer Survivors

2019 ◽  
Vol 16 (17) ◽  
pp. 3050
Author(s):  
Chen ◽  
Hsieh ◽  
Chung
Keyword(s):  
Breast Cancer ◽  
Emergency Department ◽  
Cancer Survivors ◽  
Continuity Of Care ◽  
Breast Cancer Survivors ◽  
Emergency Department Use ◽  
Care Continuity ◽  
Follow Up Care ◽  
Lower Likelihood

This retrospective cohort study examined the effects of care continuity on the utilization of follow-up services and outcome of breast cancer patients (stages I–III) in the post-treatment phase of care. Propensity score matching and generalized estimation equations were used in the analysis of data obtained from national longitudinal databases. The continuity of care index (COCI) was calculated separately for primary care physicians (PCP) and oncologists. Our results revealed that breast cancer survivors with a higher oncology COCI were more likely than those with a lower oncology COCI to use mammography or breast ultrasound during the follow-up period (OR = 1.26, 95% CI: 1.19–1.32; OR = 1.12, 95% CI: 1.06–1.18; respectively). In terms of health outcomes, a higher oncology COCI was associated with a lower likelihood of hospitalization (OR = 0.78, 95% CI: 0.71–0.85) and emergency department use (OR = 0.88, 95% CI: 0.82–0.95). A higher PCP COCI was also associated with a lower likelihood of hospitalization (OR = 0.77, 95% CI: 0.70–0.85) and emergency department use (OR = 0.75, 95% CI: 0.68–0.82). Overall, this study determined that ambulatory care continuity is positively associated with the likelihood of using recommended follow-up care services and negatively associated with adverse health events among breast cancer survivors.

scholarly journals Emergency department use by oldest-old patients from 2005 to 2010 in a Swiss university hospital

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Sarah Vilpert ◽  
Hélène Jaccard Ruedin ◽  
Lionel Trueb ◽  
Stéfanie Monod-Zorzi ◽  
Bertrand Yersin ◽  
...  
Keyword(s):  
Emergency Department ◽  
Oldest Old ◽  
University Hospital ◽  
Emergency Department Use ◽  
Old Patients

Nonurgent Emergency Department Use During Pregnancy

2014 ◽  
Vol 123 ◽  
pp. 150S ◽  
Author(s):  
Kimberly A. Kilfoyle ◽  
Roxanne A. Vrees ◽  
Kristen A. Matteson ◽  
Maureen G. Phipps ◽  
Christina A. Raker
Keyword(s):  
Emergency Department ◽  
Emergency Department Use

scholarly journals Medical Trainee Continuity of Care Following Emergency Department Consultations in a Pediatric Hospital

2016 ◽  
Vol 8 (1) ◽  
pp. 33-38 ◽  
Author(s):  
Kim Bjorklund ◽  
Emily A. Eismann ◽  
Roger Cornwall
Keyword(s):  
Emergency Department ◽  
Continuity Of Care ◽  
Broad Spectrum ◽  
Medical Records ◽  
Care Center ◽  
Tertiary Care ◽  
Well Being ◽  
Tertiary Care Center ◽  
Pediatric Hospital ◽  
Medical Trainee

ABSTRACT Background The importance of continuity of care in training is widely recognized; however, a broad-spectrum assessment across all specialties has not been performed. Objective We assessed the continuity of care provided by trainees, following patient consultations in the emergency department (ED) across all specialties at a large pediatric tertiary care center. Methods Medical records were reviewed to identify patients seen in consultation by a resident or fellow trainee in the ED over a 1-year period, and to determine if the patient followed up with the same trainee for the same condition during the next 6 months. Results Resident and fellow trainees from 33 specialties participated in 3400 ED consultations. Approximately 50% (1718 of 3400) of the patients seen in consultation by a trainee in the ED followed up with the same specialty within 6 months, but only 4.1% (70 of 1718) followed up with the same trainee for the same condition. Trainee continuity of care ranged from 0% to 21% among specialties, where specialties with resident clinics (14.4%) have a greater continuity of care than specialties without resident clinics (2.7%, P < .001). Continuity of care did not differ between fellows (4.2%) and residents (4.0%, P = .87), but did differ between postgraduate years for residents (P < .001). Conclusions Trainee continuity of care for ED consultations was low across all specialties and levels of training. If continuity of care is important for patient well-being and trainee education, efforts to improve continuity for trainees must be undertaken.

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