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Home Research Research Library Mobility and social deprivation on primary care utilisation among paediatric patients with asthma Mobility and social deprivation on primary care utilisation among paediatric patients with asthma 2021 Author(s) Lucas, Jennifer A, Marino, Miguel, Giebultowicz, Sophia, Fankhauser, Katie, Suglia, Shakira F, Bailey, Steffani R, Bazemore, Andrew W, and Heintzman, John Topic(s) What Family Physicians Do Keyword(s) Children & Adolescents Volume Family Medicine and Community Health Source Family Medicine and Community Health OBJECTIVE: Asthma care is negatively impacted by neighbourhood social and environmental factors, and moving is associated with undesirable asthma outcomes. However, little is known about how movement into and living in areas of high deprivation relate to primary care use. We examined associations between neighbourhood characteristics, mobility and primary care utilisation of children with asthma to explore the relevance of these social factors in a primary care setting. DESIGN: In this cohort study, we conducted negative binomial regression to examine the rates of primary care visits and annual influenza vaccination and logistic regression to study receipt of pneumococcal vaccination. All models were adjusted for patient-level covariates. SETTING: We used data from community health centres in 15 OCHIN states. PARTICIPANTS: The sample included 23 773 children with asthma aged 3-17 across neighbourhoods with different levels of social deprivation from 2012 to 2017. We conducted negative binomial regression to examine the rates of primary care visits and annual influenza vaccination and logistic regression to study receipt of pneumococcal vaccination. All models were adjusted for patient-level covariates. RESULTS: Clinic visit rates were higher among children living in or moving to areas with higher deprivation than those living in areas with low deprivation (rate ratio (RR) 1.09, 95% CI 1.02 to 1.17; RR 1.05, 95% CI 1.00 to 1.11). Children moving across neighbourhoods with similarly high levels of deprivation had increased RRs of influenza vaccination (RR 1.13, 95% CI 1.03 to 1.23) than those who moved but stayed in neighbourhoods of low deprivation. CONCLUSIONS: Movement into and living within areas of high deprivation is associated with more primary care use, and presumably greater opportunity to reduce undesirable asthma outcomes. These results highlight the need to attend to patient movement in primary care visits, and increase neighbourhood-targeted population management to improve equity and care for children with asthma. Read More ABFM Research Read all 2014 Creating the Individual Scope of Practice (I-SOP) scale Go to Creating the Individual Scope of Practice (I-SOP) scale 2021 The Declining Scope of Practice of Family Physicians Is Limited to Urban Areas Go to The Declining Scope of Practice of Family Physicians Is Limited to Urban Areas 1992 1991 certification-recertification examinations Go to 1991 certification-recertification examinations 2018 Wide Gap between Preparation and Scope of Practice of Early Career Family Physicians Go to Wide Gap between Preparation and Scope of Practice of Early Career Family Physicians
Author(s) Lucas, Jennifer A, Marino, Miguel, Giebultowicz, Sophia, Fankhauser, Katie, Suglia, Shakira F, Bailey, Steffani R, Bazemore, Andrew W, and Heintzman, John Topic(s) What Family Physicians Do Keyword(s) Children & Adolescents Volume Family Medicine and Community Health Source Family Medicine and Community Health
ABFM Research Read all 2014 Creating the Individual Scope of Practice (I-SOP) scale Go to Creating the Individual Scope of Practice (I-SOP) scale 2021 The Declining Scope of Practice of Family Physicians Is Limited to Urban Areas Go to The Declining Scope of Practice of Family Physicians Is Limited to Urban Areas 1992 1991 certification-recertification examinations Go to 1991 certification-recertification examinations 2018 Wide Gap between Preparation and Scope of Practice of Early Career Family Physicians Go to Wide Gap between Preparation and Scope of Practice of Early Career Family Physicians
2014 Creating the Individual Scope of Practice (I-SOP) scale Go to Creating the Individual Scope of Practice (I-SOP) scale
2021 The Declining Scope of Practice of Family Physicians Is Limited to Urban Areas Go to The Declining Scope of Practice of Family Physicians Is Limited to Urban Areas
1992 1991 certification-recertification examinations Go to 1991 certification-recertification examinations
2018 Wide Gap between Preparation and Scope of Practice of Early Career Family Physicians Go to Wide Gap between Preparation and Scope of Practice of Early Career Family Physicians
