ArticleHealth services research2018
Does Spatial Access to Primary Care Affect Emergency Department Utilization for Nonemergent Conditions?
Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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
48 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Distances to emergency departments and non-urgent utilization of medical services: a systematic review.Global health action · 2024Pooled it
- Examining Transitions From Early Intervention to Preschool Services: A Retrospective Review of Therapeutic Service Access in a Clinical Sample of Children With Developmental Disabilities.Infants and young children · 2026Article
- Predictors of Engagement and Impact on Alcohol-Related Hospital Utilization with Primary Care-Based Alcohol Use Disorder Treatment Clinic.Journal of general internal medicine · 2026Article
- Urgent care utilization patterns in Switzerland: a population-based cross-sectional study.BMC health services research · 2026Article
- Emergency Department Utilization by Women of Reproductive Age for Mental Illness in St. Louis Before and During the COVID-19 Pandemic.International journal of environmental research and public health · 2026Article
- Experiences of healthcare services among racial and ethnic groups in the U.S.Preventive medicine reports · 2026Article
- Impact of spatial accessibility to primary care physicians on health care outcomes and costs.International journal of health geographics · 2025Article
- Sociodemographic and Health Behaviour of Frequent, Avoidable Emergency Department Users in Ontario, Canada: A Population-based Descriptive Study.The western journal of emergency medicine · 2025Article
- Health Ratings and Unmet Transportation Needs in Indiana's Aged and Disabled Home and Community-Based Services Waiver Program.Journal of aging & social policy · 2025Article
- Racism Counterfactuals in Health Research.Journal of racial and ethnic health disparities · 2025Article
- Impact of Community-Level Social Vulnerability on Preventable Emergency Department Visits in Insured Patients.Journal of the American College of Emergency Physicians open · 2025Article
- Cognitive Frame and Time Pressure as Moderators Of Clinical Reasoning: A Case Control Study.The western journal of emergency medicine · 2025Article
- The role of mesolevel characteristics of the health care system and socioeconomic factors on health care use - results of a scoping review.International journal for equity in health · 2024Article
- Automating risk stratification for geriatric syndromes in the emergency department.Journal of the American Geriatrics Society · 2024Article
- Hospital Proximity and Emergency Department Use among Assisted Living Residents.Journal of the American Medical Directors Association · 2023Article
- Characterizing Social Insecurity in a Rural North Carolina Emergency Department.The western journal of emergency medicine · 2023Article
- Potentially Inappropriate Medication Use among Underserved Older Latino Adults.Journal of clinical medicine · 2023Article
- Emergency Department Utilization, Hospital Admissions, and Office-Based Physician Visits Among Under-Resourced African American and Latino Older Adults.Journal of racial and ethnic health disparities · 2023Article
- Risk of type 2 diabetes mellitus among adults aging with vision impairment: The role of the neighborhood environment.Disability and health journal · 2023Article
- Trends in Racial and Ethnic Disparities in Barriers to Timely Medical Care Among Adults in the US, 1999 to 2018.JAMA health forum · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the contributions of individual- and neighborhood-level spatial access to care to the utilization of emergency departments (EDs) for preventable conditions through implementation of novel local spatial access measures. DATA SOURCES/STUDY
settingEmergency department admissions data are from four HealthLNK member hospitals in Chicago from 2007 to 2011. Primary care physician office and clinic locations were obtained from the American Medical Association and the City of Chicago. STUDY
designMultilevel logit regression was used to model the relationship between individual- and neighborhood-level attributes and preventable ED use. DATA COLLECTION/EXTRACTION
methodsEmergency department admissions data were classified based on the primary diagnosis for each encounter. Spatial access to care indices were generated in ArcGIS, and values were extracted at each ZIP code centroid to match patients' ZIP codes. PRINCIPAL
findingsBeyond sociodemographic factors such as gender and race, patients living in medically underserved areas (MUAs) and areas with lower spatial access to primary care clinics had higher odds of preventable ED use.
conclusionsPreventable ED use can be associated with sociodemographic characteristics, as well as spatial access to primary care services. This study reveals potential for using local measures of spatial accessibility for preventable ED analyses.
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