Can primary care and continuity of care prevent asthma- related emergency department use and hospitalizations amongst children?
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Résumé
Objective Having a primary care provider and a consistent, continuous relationship with said provider may be important for asthma outcomes. In Québec, children are mainly followed by family physicians in family medicine groups (FMGs), family physicians not part of FMGs, or by pediatricians. We sought to determine 1) whether having a usual provider of primary care was associated with asthma-related emergency department (ED) visits and hospitalization in Québec children with asthma and 2) whether continuity of care with a primary care provider was associated with acute asthma outcomes. Methods This was a population-based retrospective cohort study that used Québec provincial health administrative data from 2010-2013. The population was children diagnosed with asthma, aged 2-16 years old (N=39, 341). The main exposure was the primary care model (FMGs, non-FMGs, or pediatricians, compared to no assigned usual provider of care (UPC)). For those with an assigned UPC, continuity of care was measured by the UPC Index (high, medium, low). The main and secondary outcomes were asthma-related ED visits and hospitalizations, respectively. Multivariate logistic regression analyses were used to test associations between exposures and outcomes.ResultsOverall, 17.4% of children diagnosed with asthma in Québec had no assigned UPC. Compared to no assigned UPC, having a UPC was associated with decreased asthma-related ED visits (Pediatrician Odds Ratio (OR): 0.80, 95% confidence interval (CI) [0.73, 0.89], FMGs OR: 0.84, 95% CI [0.75,0.93], non-FMGs OR: 0.92, 95% CI [0.83, 1.02]) and hospital admissions (Pediatrician OR: 0.67, 95% CI [0.59, 0.76], FMGs OR: 0.83, 95% CI [0.73, 0.94], non-FMGs OR: 0.77, 95% CI [0.67, 0.87]). Children followed by a pediatrician were more likely to have high continuity of care. Continuity of care was not significantly associated with asthma-related ED visits but compared to low continuity, medium or high continuity was associated with decreased asthma-related hospital admissions (Medium OR: 0.81, 95% CI [0.73, 0.90], High OR: 0.72, 95% CI [0.63, 0.82])ConclusionHaving a usual provider of primary care was associated with reduced asthma-related ED visits and hospital admissions. For those who had a UPC, high continuity of care was associated with reduced likelihood of asthma-related hospital admissions.
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Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle