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• W2901454925 startingPage "101" @default.
• W2901454925 abstract "Conceptually, access to primary care (through insurance) should reduce emergency department (ED) visits for primary care sensitive (PCS) conditions. We sought to identify characteristics of insured Massachusetts residents associated with PCS ED use, and compare such use for public versus private insurees.People under age 65 in the Massachusetts All-Payer Claims Data, 2011-2012.Retrospective, observational analysis of PCS ED use with nonurgent, urgent/primary care treatable, and urgent/potentially avoidable visits being considered PCS. We predicted utilization in 2012 using multivariable regression models and data available in 2011 administrative records.Among 2,269,475 nonelderly Massachusetts residents, 40% had public insurance. Among public insurees, PCS ED use was higher than for private (mean, 36.5 vs. 9.0 per 100 persons; adjusted risk ratio, 2.53; 95% confidence limits, 2.49-2.56), while having any primary care visit was less common (70% vs. 83%), as was having any visit to one's own (attributed) primary care provider (38% vs. 44%).Public insurance was associated with less access to primary care and more PCS ED use; statewide labor shortages and low reimbursement rates from public insurance may have provided inadequate access to care that might otherwise have helped reduce PCS ED use." @default.
• W2901454925 created "2018-11-29" @default.
• W2901454925 creator A5042499291 @default.
• W2901454925 creator A5043390930 @default.
• W2901454925 creator A5053328456 @default.
• W2901454925 creator A5071835676 @default.
• W2901454925 date "2019-02-01" @default.
• W2901454925 modified "2023-10-01" @default.
• W2901454925 title "Emergency Department and Primary Care Use in Massachusetts 5 Years After Health Reform" @default.
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• W2901454925 doi "https://doi.org/10.1097/mlr.0000000000001025" @default.
• W2901454925 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30461581" @default.
• W2901454925 hasPublicationYear "2019" @default.
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