Primary Care Accessibility Effects on Health Care Utilization Among Urban Children.

ABSTRACT:

Objective

Evidence suggests that spatial accessibility to primary care is a contributing factor to appropriate health care utilization, with limited primary care access resulting in avoidable hospitalizations and emergency department visits which are burdensome on individuals and our health care system. Limited research, however, has examined the effects on children.

Methods

We evaluated associations of spatial accessibility to primary care on health care utilization among a sample of 16,709 children aged 0 to 3 years in Philadelphia who were primarily non-White and publicly insured. Log-Poisson models with generalized estimating equations were used to estimate incidence rate ratios (RR) and 95% confidence intervals (CI), while accounting for 3 levels of clustering (within i

SUBMITTER: Mudd AE 

PROVIDER: S-EPMC7261359 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature