ArticleHealthcare policy = Politiques de sante2008
Emergency Department and Walk-in Clinic Use in Models of Primary Care Practice with Different After-Hours Accessibility in Ontario.
Article in Healthcare policy = Politiques de sante, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comprehensive Geriatric Assessment for community-dwelling, high-risk, frail, older people.The Cochrane database of systematic reviews · 2022Pooled it
- Impact of grassroots development of interprofessional team-based practices: Retrospective matched cohort study using ICES data.Canadian family physician Medecin de famille canadien · 2026Article
- Finding Primary Care-Repurposing Physician Registration Data to Generate a Regionally Accurate List of Primary Care Clinics: Development and Validation of an Open-Source Algorithm.JMIR formative research · 2022Article
- A Value-Based Comparison of the Management of Ambulatory Respiratory Diseases in Walk-in Clinics, Primary Care Practices, and Emergency Departments: Protocol for a Multicenter Prospective Cohort Study.JMIR research protocols · 2021Article
- Access to Primary Care and Internet Searches for Walk-In Clinics and Emergency Departments in Canada: Observational Study Using Google Trends and Population Health Survey Data.JMIR public health and surveillance · 2019Article
- Article
- The impact of the adoption of a patient rostering model on primary care access and continuity of care in urban family practices in Ontario, Canada.BMC family practice · 2019Article
- Effects of mixed provider payment systems and aligned cost sharing practices on expenditure growth management, efficiency, and equity: a structured review of the literature.BMC health services research · 2018Review
- Patients' perceptions of access to primary care: Analysis of the QUALICOPC Patient Experiences Survey.Canadian family physician Medecin de famille canadien · 2018Article
- Article
- Realigning training with need: A case for mandatory family medicine resident experience in community-based care of the frail elderly.Canadian family physician Medecin de famille canadien · 2014Article
- Unmasking health determinants and health outcomes for urban First Nations using respondent-driven sampling.BMJ open · 2014Article
- The effect of rostering with a patient enrolment model on emergency department utilization.Healthcare policy = Politiques de sante · 2014Article
- Access to primary care and other health care use among western Canadians with chronic conditions: a population-based survey.CMAJ open · 2014Article
- Improving delivery of primary care for vulnerable migrants: Delphi consensus to prioritize innovative practice strategies.Canadian family physician Medecin de famille canadien · 2014Article
- Does better access to FPs decrease the likelihood of emergency department use? Results from the Primary Care Access Survey.Canadian family physician Medecin de famille canadien · 2012Article
- Chronically ill Canadians' experiences of being unattached to a family doctor: a qualitative study of marginalized patients in British Columbia.BMC family practice · 2012Article
- Practice and payment preferences of newly practising family physicians in British Columbia.Canadian family physician Medecin de famille canadien · 2012Article
- Primary care access and its relationship with emergency department utilisation: an observational, cross-sectional, ecological study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Article
- Primary health care in Canada: systems in motion.The Milbank quarterly · 2011Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionNew models of primary healthcare delivery recently implemented in Ontario are designed to improve after-hours accessibility. This study examined whether the six-month prevalence of emergency department and walk-in clinic use differed among patients of eight Family Health Network (FHN), 16 Family Health Group (FHG) and 12 fee-for-service (FFS) physicians in one city.
methodsPatients over one year of age who had visited their family doctor in the previous 12 months (n=9,373) were randomly selected from computerized records. A mailed survey asked about urgent health problems in the previous six months and use of health services for those problems. A generalized estimating equation approach was used to compare the proportions of patients using the emergency department and walk-in clinic in the FHN versus other practice types, adjusting for clustering of patients within practices. Multiple imputation was used to impute data for non-respondents and missing items on the surveys.
resultsThe response rate was 62.3% (5,884/9,373). Six-month prevalence of emergency department use was 11.4% (199/1,753) among the FHN practices, 15.7% (347/2,236) among the FHG practices (odds ratio [OR] = 1.47; 95% confidence interval [CI] = 1.21-1.80) and 14.3% (252/1,779) among the FFS practices (OR=1.33; 95% CI=1.12-1.59). Six-month prevalence of walk-in clinic use was 1.7% (30/1,723) among the FHN practices versus 1.9% (41/2,236) in the FHG practices (OR=1.07; 95% CI=0.68-1.68) and 3.4% (59/1,779) among the FFS practices (OR=2.08; 95% CI=1.41-3.08). The statistical significance of results was unchanged using multiple imputation.
conclusionsPatients' use of the emergency department and walk-in clinics differs across primary care practice models with different after-hours accessibility arrangements and incentives.
Identifiers
19377344PMC2645201What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.