An after-hours pediatric walk-in clinic for an entire urban community

Utilization and effectiveness of follow-up care

Michael Weitzman, M. S. Moomaw, K. P. Messenger

    Research output: Contribution to journalArticle

    Abstract

    A retrospective record review was used to examine utilization of a pediatric walk-in clinic available to an entire urban community and to evaluate the effectiveness of follow-up care for a sample of the users of this facility who receive their regular pediatric care at a local comprehensive child health center. Results indicate that this walk-in facility is used extensively for the care of nonemergency conditions. The findings did not, however, support the generally accepted belief that a disproportionate number of Medicaid-supported and minority children overuse emergency type facilities. Utilization did not differ by race or medical care financing. Only 35.6% of the children who were advised to make a follow-up visit to the health center actually did so. White children complied significantly more often than black children (48.0% vs 15.8%). A larger percentage of patients for whom follow-up was optional (48.5%) than for whom follow-up was recommended (35.6%) made a return visit. Noncompliance with recommendations concerning follow-up care of adult users of emergency type facilities is a well recognized problem; the present study demonstrates a similar problem among children.

    Original languageEnglish (US)
    Pages (from-to)964-970
    Number of pages7
    JournalPediatrics
    Volume65
    Issue number5
    StatePublished - Jan 1 1980

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    Pediatrics
    Emergencies
    Medicaid
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    ASJC Scopus subject areas

    • Pediatrics, Perinatology, and Child Health

    Cite this

    An after-hours pediatric walk-in clinic for an entire urban community : Utilization and effectiveness of follow-up care. / Weitzman, Michael; Moomaw, M. S.; Messenger, K. P.

    In: Pediatrics, Vol. 65, No. 5, 01.01.1980, p. 964-970.

    Research output: Contribution to journalArticle

    Weitzman, Michael ; Moomaw, M. S. ; Messenger, K. P. / An after-hours pediatric walk-in clinic for an entire urban community : Utilization and effectiveness of follow-up care. In: Pediatrics. 1980 ; Vol. 65, No. 5. pp. 964-970.
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