TY - JOUR
KW - Academic Medical Centers
KW - Adolescent
KW - Algorithms
KW - Child
KW - Child, Preschool
KW - Counseling
KW - Emergency Service, Hospital/utilization
KW - Female
KW - Health Services Accessibility/statistics & numerical data
KW - Health Services Misuse/statistics & numerical data
KW - Hospitalization/statistics & numerical data
KW - Hospitals, Pediatric/utilization
KW - Hospitals, Urban/utilization
KW - Humans
KW - Infant
KW - Infant, Newborn
KW - Least-Squares Analysis
KW - Longitudinal Studies
KW - Male
KW - New York City
KW - Odds Ratio
KW - Parents/education
KW - Patient Acceptance of Health Care/statistics & numerical data
KW - Patient Education as Topic
KW - Primary Health Care/statistics & numerical data
KW - Prospective Studies
KW - Referral and Consultation/utilization
KW - Telephone
KW - Utilization Review/statistics & numerical data
AU - A. D. Racine
AU - E. M. Alderman
AU - J. R. Avner
A1 - 
AB - OBJECTIVE: To test whether follow-up phone calls to counsel families about pediatric emergency department (PED) use and primary care availability made after an index PED visit would modify subsequent PED use. DESIGN: Longitudinal prospective randomized intervention. SETTING: An urban academic children's hospital. PATIENTS: A total of 4246 individuals aged 0 to 21 years from each of 4 participating primary care practices recording an index PED visit from April through December 2005. INTERVENTION: Follow-up phone call from the primary care practice within 72 hours of the initial PED visit to counsel about the availability of after-hours advice and when to access the PED. MAIN OUTCOME MEASURES: All subsequent visits to primary care practices, PED, pediatric subspecialists, or for inpatient hospitalization during a 365-day follow-up period. Logistic and ordinary least squares regressions estimated unadjusted and adjusted odds ratios of follow-up visits, controlling for covariates. RESULTS: Of the 2166 intervention subjects, 816 (37.7%) recorded follow-up PED visits compared with 819 (39.4%) of the 2080 control subjects (P = .26, not significant). The adjusted odds of a follow-up visit being to the PED rather than to another venue was significantly less for intervention than for control subjects (odds ratio, 0.88; confidence interval, 0.82-0.94), indicating decreased intensity of PED use. CONCLUSION: Follow-up phone calls from primary care practices after PED visits counseling patients on the use of primary care and emergency services can modulate subsequent care-seeking behavior and decrease future PED use.
BT - Archives of Pediatrics & Adolescent Medicine
C5 - HIT & Telehealth
CP - 6
CY - United States
DO - 10.1001/archpediatrics.2009.45
IS - 6
JF - Archives of Pediatrics & Adolescent Medicine
N2 - OBJECTIVE: To test whether follow-up phone calls to counsel families about pediatric emergency department (PED) use and primary care availability made after an index PED visit would modify subsequent PED use. DESIGN: Longitudinal prospective randomized intervention. SETTING: An urban academic children's hospital. PATIENTS: A total of 4246 individuals aged 0 to 21 years from each of 4 participating primary care practices recording an index PED visit from April through December 2005. INTERVENTION: Follow-up phone call from the primary care practice within 72 hours of the initial PED visit to counsel about the availability of after-hours advice and when to access the PED. MAIN OUTCOME MEASURES: All subsequent visits to primary care practices, PED, pediatric subspecialists, or for inpatient hospitalization during a 365-day follow-up period. Logistic and ordinary least squares regressions estimated unadjusted and adjusted odds ratios of follow-up visits, controlling for covariates. RESULTS: Of the 2166 intervention subjects, 816 (37.7%) recorded follow-up PED visits compared with 819 (39.4%) of the 2080 control subjects (P = .26, not significant). The adjusted odds of a follow-up visit being to the PED rather than to another venue was significantly less for intervention than for control subjects (odds ratio, 0.88; confidence interval, 0.82-0.94), indicating decreased intensity of PED use. CONCLUSION: Follow-up phone calls from primary care practices after PED visits counseling patients on the use of primary care and emergency services can modulate subsequent care-seeking behavior and decrease future PED use.
PP - United States
PY - 2009
SN - 1538-3628; 1072-4710
SP - 505
EP - 511
EP - 
T1 - Effect of telephone calls from primary care practices on follow-up visits after pediatric emergency department visits: evidence from the Pediatric Emergency Department Links to Primary Care (PEDLPC) randomized controlled trial
T2 - Archives of Pediatrics & Adolescent Medicine
TI - Effect of telephone calls from primary care practices on follow-up visits after pediatric emergency department visits: evidence from the Pediatric Emergency Department Links to Primary Care (PEDLPC) randomized controlled trial
U1 - HIT & Telehealth
U3 - 10.1001/archpediatrics.2009.45
VL - 163
VO - 1538-3628; 1072-4710
Y1 - 2009
ER -