Ambulatory quality, special health care needs, and emergency department or hospital use for US children.

ABSTRACT:

Objective

This study examined family-reported ambulatory care quality and its association with emergency department and hospital utilization, and how these relationships differed across levels of medical complexity.

Data sources

The 2006-2013 Medical Expenditure Panel Survey (MEPS).

Study design

Secondary analysis of MEPS data. Variables fitting the National Quality Measures Clearinghouse clinical quality measures domain framework were selected. Exploratory factor analysis grouped ambulatory quality into 12 access, experience, or process measures. Weighted negative binomial regression stratified by health status identified associations between ambulatory quality and ED visits or hospitalizations.

Data collection

41,497 children ≤18 years were included. The 5-it

SUBMITTER: Coller RJ 

PROVIDER: S-EPMC7518884 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature