These data were extracted from their comprehensive health care records to determine the average rate per year of
nonemergency visits (i.e., primary and specialty outpatient care), ER visits, and hospitalizations.
The hierarchical regressions were significant for
nonemergency visits [final adj. R2 =.15, F (12, 237) = 4.66, p <.01], ER visits [adj. R2 =.15, F (12, 237) = 4.72, p <.01], ear infections [adj. R2 =.05, F (12, 237) = 2.07, p <.01], and acute respiratory illnesses [adj. R2 =.08, F (12, 237) = 2.84, p <.01], such that these full regression models accounted for a significant proportion of the variance in children's health care usage.
However, in contrast to what we expected, these children also had lower rates of
nonemergency visits.
Mothers from lower income families were less likely to learn about the importance of regular
nonemergency visits to health care providers from their own childhood experiences.
Not exact matches
The authors point out that the eight states that have implemented copayments for
nonemergency ED
visits saw no reduction in ED
visits by Medicaid patients relative to states that did not implement such copayments.
Although a goal of Medicaid expansion under the Affordable Care Act was to provide Medicaid patients with a source of
nonemergency care outside of hospital emergency departments (EDs), researchers suggest that these newly enrolled patients will likely continue to look to EDs for treatment of chronic diseases and other
nonemergency issues, despite state attempts to impose fees on ED
visits.
Contrary to expectations, parental structure was not associated with the rate of use of
nonemergency care, ER
visits, or hospitalization.
In addition, use of behavioral control by parents predicted lower rates of both
nonemergency care and ER
visits, as well as fewer diagnosed respiratory illnesses.
There were also significant effects of behavioral control on children's rate of
nonemergency service use and ER
visits.
Greater behavioral control by parents predicted lower rates of both
nonemergency care and ER
visits.
Although this finding was not consistent with our predictions, it may suggest that at least during early childhood, the greater use of behavioral control may have a protective effect on health, resulting in lower rates of ambulatory care (i.e.,
nonemergency care and ER
visits).
Hierarchical multiple regressions were performed for
nonemergency services, ER
visits, ear infections, and acute respiratory illnesses, as they were continuous outcome variables.
These included higher rates of
visits for
nonemergency care and decreased rates of emergency care and hospitalizations.
Under conditions of highly supportive parenting, children whose parents had experienced lower socioeconomic conditions received higher rates of outpatient
nonemergency care, including more
visits for treatment of ear infections.
Greater control decreased children's rates of both
nonemergency care and ER
visits (β = −.17, p <.01 and β = −.24, p <.01, respectively).