Emergency Department Referral Process and Subsequent Use of Safety-Net Clinics

Kathleen Ruben, Karoline Mortensen, Barbara Eldridge

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

We analyzed data on 10,761 low-income emergency department (ED) patients participating in the Emergency Department-Primary Care Connect program to identify successful methods of disseminating information on availability of primary care clinics. Data were obtained from all five hospitals in Montgomery County, Maryland, four participating county clinics, and from patient navigators. A two-part negative binomial model estimated factors associated with the probability of a clinic visit following a referral, and factors associated with the frequency of subsequent clinic visits. Twenty-one percent of patients had a subsequent clinic visit, and two-thirds of these patients returned for a second clinic visit. Patients were more likely to make the initial clinic visit if the referral was made by both the ED Provider and the patient navigator, relative to referral by the ED provider only. ED providers and patient navigators helped patients gain access to primary care services by referring them to safety-net clinics.

Original languageEnglish (US)
Pages (from-to)1298-1304
Number of pages7
JournalJournal of Immigrant and Minority Health
Volume17
Issue number5
DOIs
StatePublished - Oct 13 2015
Externally publishedYes

Fingerprint

Safety-net Providers
Ambulatory Care
Patient Navigation
Hospital Emergency Service
Referral and Consultation
Primary Health Care
Statistical Models

Keywords

  • Health literacy
  • Intervention
  • Patient navigator
  • Primary care clinic

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Emergency Department Referral Process and Subsequent Use of Safety-Net Clinics. / Ruben, Kathleen; Mortensen, Karoline; Eldridge, Barbara.

In: Journal of Immigrant and Minority Health, Vol. 17, No. 5, 13.10.2015, p. 1298-1304.

Research output: Contribution to journalArticle

@article{51b1a1f253fc447dbba74cf6e8909d05,
title = "Emergency Department Referral Process and Subsequent Use of Safety-Net Clinics",
abstract = "We analyzed data on 10,761 low-income emergency department (ED) patients participating in the Emergency Department-Primary Care Connect program to identify successful methods of disseminating information on availability of primary care clinics. Data were obtained from all five hospitals in Montgomery County, Maryland, four participating county clinics, and from patient navigators. A two-part negative binomial model estimated factors associated with the probability of a clinic visit following a referral, and factors associated with the frequency of subsequent clinic visits. Twenty-one percent of patients had a subsequent clinic visit, and two-thirds of these patients returned for a second clinic visit. Patients were more likely to make the initial clinic visit if the referral was made by both the ED Provider and the patient navigator, relative to referral by the ED provider only. ED providers and patient navigators helped patients gain access to primary care services by referring them to safety-net clinics.",
keywords = "Health literacy, Intervention, Patient navigator, Primary care clinic",
author = "Kathleen Ruben and Karoline Mortensen and Barbara Eldridge",
year = "2015",
month = "10",
day = "13",
doi = "10.1007/s10903-014-0111-y",
language = "English (US)",
volume = "17",
pages = "1298--1304",
journal = "Journal of Immigrant and Minority Health",
issn = "1557-1912",
publisher = "Springer New York",
number = "5",

}

TY - JOUR

T1 - Emergency Department Referral Process and Subsequent Use of Safety-Net Clinics

AU - Ruben, Kathleen

AU - Mortensen, Karoline

AU - Eldridge, Barbara

PY - 2015/10/13

Y1 - 2015/10/13

N2 - We analyzed data on 10,761 low-income emergency department (ED) patients participating in the Emergency Department-Primary Care Connect program to identify successful methods of disseminating information on availability of primary care clinics. Data were obtained from all five hospitals in Montgomery County, Maryland, four participating county clinics, and from patient navigators. A two-part negative binomial model estimated factors associated with the probability of a clinic visit following a referral, and factors associated with the frequency of subsequent clinic visits. Twenty-one percent of patients had a subsequent clinic visit, and two-thirds of these patients returned for a second clinic visit. Patients were more likely to make the initial clinic visit if the referral was made by both the ED Provider and the patient navigator, relative to referral by the ED provider only. ED providers and patient navigators helped patients gain access to primary care services by referring them to safety-net clinics.

AB - We analyzed data on 10,761 low-income emergency department (ED) patients participating in the Emergency Department-Primary Care Connect program to identify successful methods of disseminating information on availability of primary care clinics. Data were obtained from all five hospitals in Montgomery County, Maryland, four participating county clinics, and from patient navigators. A two-part negative binomial model estimated factors associated with the probability of a clinic visit following a referral, and factors associated with the frequency of subsequent clinic visits. Twenty-one percent of patients had a subsequent clinic visit, and two-thirds of these patients returned for a second clinic visit. Patients were more likely to make the initial clinic visit if the referral was made by both the ED Provider and the patient navigator, relative to referral by the ED provider only. ED providers and patient navigators helped patients gain access to primary care services by referring them to safety-net clinics.

KW - Health literacy

KW - Intervention

KW - Patient navigator

KW - Primary care clinic

UR - http://www.scopus.com/inward/record.url?scp=84941413572&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84941413572&partnerID=8YFLogxK

U2 - 10.1007/s10903-014-0111-y

DO - 10.1007/s10903-014-0111-y

M3 - Article

C2 - 25236770

AN - SCOPUS:84941413572

VL - 17

SP - 1298

EP - 1304

JO - Journal of Immigrant and Minority Health

JF - Journal of Immigrant and Minority Health

SN - 1557-1912

IS - 5

ER -