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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 D 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 2016 Intended vs Reported Scope of Practice–Reply Go to Intended vs Reported Scope of Practice–Reply 2018 Rural Family Physicians Have a Broader Scope of Practice Than Urban Family Physicians Go to Rural Family Physicians Have a Broader Scope of Practice Than Urban Family Physicians 2018 Rural Family Physicians in Patient Centered Medical Homes Have a Broader Scope of Practice Go to Rural Family Physicians in Patient Centered Medical Homes Have a Broader Scope of Practice 2021 Family Physicians Ability to Perform Cesarean Sections Can Reduce Maternal and Infant Mortality Go to Family Physicians Ability to Perform Cesarean Sections Can Reduce Maternal and Infant Mortality
Author(s) Lucas, Jennifer A, Marino, Miguel, Giebultowicz, Sophia, Fankhauser, Katie, Suglia, Shakira F, Bailey, Steffani R, Bazemore, Andrew W, and Heintzman, John D 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 2016 Intended vs Reported Scope of Practice–Reply Go to Intended vs Reported Scope of Practice–Reply 2018 Rural Family Physicians Have a Broader Scope of Practice Than Urban Family Physicians Go to Rural Family Physicians Have a Broader Scope of Practice Than Urban Family Physicians 2018 Rural Family Physicians in Patient Centered Medical Homes Have a Broader Scope of Practice Go to Rural Family Physicians in Patient Centered Medical Homes Have a Broader Scope of Practice 2021 Family Physicians Ability to Perform Cesarean Sections Can Reduce Maternal and Infant Mortality Go to Family Physicians Ability to Perform Cesarean Sections Can Reduce Maternal and Infant Mortality
2018 Rural Family Physicians Have a Broader Scope of Practice Than Urban Family Physicians Go to Rural Family Physicians Have a Broader Scope of Practice Than Urban Family Physicians
2018 Rural Family Physicians in Patient Centered Medical Homes Have a Broader Scope of Practice Go to Rural Family Physicians in Patient Centered Medical Homes Have a Broader Scope of Practice
2021 Family Physicians Ability to Perform Cesarean Sections Can Reduce Maternal and Infant Mortality Go to Family Physicians Ability to Perform Cesarean Sections Can Reduce Maternal and Infant Mortality
