Continuity of primary care and emergency department utilization among elderly people
Canadian Medical Association JournalPublished 19 November 2007Open access
Raluca Ionescu‐Ittu, Jane McCusker, Antonio Ciampi, Alain Vadeboncœur, Danièle Roberge, Danielle Larouche
Citations261
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TL;DR
Having a primary physician and greater continuity of care with this physician are factors associated with decreased emergency department use by elderly people, particularly those living in urban areas.
Abstract
Having a primary physician and greater continuity of care with this physician are factors associated with decreased emergency department use by elderly people, particularly those living in urban areas.
Keywords
MedicineHealth ProfessionsEconomics, Econometrics and Finance
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Although continuity of well-child visits remained unchanged at the university setting, the continuity of sick visits declined markedly; an increased use of doctor visits for illness care was observed; its relationship with the decline in continuity is analyzed and discussed.
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Lack of continuity of care is associated with some additional morbidity, an increased number of relationship problems, 'difficult' consultations, and non-attendances, and an increase in the use of open access clinics.
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52 Citations2000Denise M. Lishner, Roger A. Rosenblatt +2 more
The rural elderly living in remote areas are 13% less likely to visit the ED than their urban counterparts, and rural EDs must be capable of dealing with the same range of emergency conditions as urban EDs.
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Medical CareThe Continuity of Care Provided to Primary Care Patients
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Comparing the continuity of care that family physicians, general internists, and medical subspecialists provided to their adult primary care patients revealed that the lowest levels of continuity were afforded patients with high utilization rates who did not carry a diagnosis in their primary physician's area of subspecialty expertise.