ArticleJournal of the American Geriatrics Society2026
Association Between Usual Clinician Presence and Emergency Department Revisitation.
Article in Journal of the American Geriatrics Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
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Authors and funding
8 authors.
Funding
Abstract
backgroundEmergency department (ED) visit rates among older adults are increasing, often due to ambulatory care sensitive conditions (ACSCs) that may have been managed through access to a usual clinician-a provider who offers regular outpatient care. We sought to characterize ACSC-related ED visits and all-cause 30-day ED revisits among ED visits of older adults with and without a usual clinician.
methodsWe conducted a pooled cross-sectional analysis of 2015-2020 Medicare Current Beneficiary Survey (MCBS) data linked to traditional Medicare claims of adults 65 and older. We compared ED visits that did and did not have a usual clinician with 3:1 propensity score matching on age, gender, race, chronic condition number (2+ vs. < 2), and geographical area. Our primary outcome was the proportion of ACSC-related Medicare beneficiary ED visits that were and were not associated with a usual clinician. Our secondary outcome was the presence of an all-cause ED revisit in the 30 days following the initial ED visit.
resultsWe examined 22,484 ED visits between 2015 and 2020, representing over 86 million ED visits nationally. Among ED visits by older adults, 20,849 (92.7%) were among those with a usual clinician. The proportion of ACSC-related ED visits by older adults with and without a usual clinician did not differ (14.8% vs. 14.7%, adjusted marginal difference [AMD] -0.20%, 95% CI: -2.17-1.78, p = 0.97). However, the proportion of all-cause 30-day ED revisits with a usual clinician among older adults was lower when compared with those without a usual clinician (25.6% vs. 35.9%, AMD 7.55%, 95% CI: 4.97-10.13, p < 0.001).
conclusionEmergency visits by older adults for ACSCs were similar regardless of the presence of a usual clinician; however, ED visits among older adults with a usual clinician were less likely to be followed by an ED revisit within 30 days.
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