Adult ambulatory care visits for illness-related complaints in the United States, 1995/1996
Ann M. Williamson, RN, PhD
- Sigma Affiliation
- Alpha Eta
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Williamson, Ann M. by View
Popular Works for Williamson, Ann M. by Download
The purpose of this study was to describe the characteristics of a subset (illness-related complaints) of adult ambulatory care visits during 1995 and 1996 to physician offices (MDO), emergency departments (ED), and outpatient departments (OPD), using a nationally representative sample. Additionally, visits for selected illness conditions (chest pain, abdominal pain, asthma, and depression), visits resulting in hospital admission, and visits occurring in the ED were analyzed using logistic regression to construct utilization profiles. Approximately 701 million visits were made nationwide to physician offices, hospital outpatient departments and emergency departments by adults (≥25 years) for illness-related complaints during 1995 and 1996. The vast majority of visits (85%) were to MDOs, followed by EDs (9%) and OPDs (6%). The annual visit rate to all settings combined was 2.1 per person with higher rates for females (2.4 per person) compared to males (1.7 per person). Gender differences in utilization were consistent across all settings. Visit rates increased with age in all settings except the ED where the rate for the youngest age group (25–44 years) exceeded that for those 45–64 years of age. Visit rates for all races were highest in the MDO setting compared to the OPD and ED. Blacks had the highest rate of ED utilization (twice that of whites). Hispanics also used EDs at a 20% higher rate than non-Hispanics. Some form of health insurance covered the majority of visits (85%). The west, with the highest percentage of managed care enrollees, had the lowest ED visit rate (16 per 100 persons per year) compared to all other regions. Depression was among the top five reasons for visit in the MDO and OPD settings and was more prevalent in the youngest age category and in the northeast geographic region. Approximately 3% of visits resulted in hospital admission, the majority of which came from the ED (69%). ED reasons for visit and diagnoses were more acute than those in MDOs and OPDs, suggesting appropriate utilization of services. Future research linking utilization patterns to data about perceived access and health status are needed.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9930671; ProQuest document ID: 304508593. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
|Review Type||None: Degree-based Submission|
|Research Approach||Quantitative Research|
Emergency Department Visits;
|CINAHL Subject(s)||Emergency Service--Utilization--United States;
Office Visits--Utilization--United States;
Outpatient Service--Utilization--United States;
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Utilizing evidence based practice to reduce hemoglobin A1c levels in primary care by increasing frequency of office visits Williams, Mary Smith (2017-06-23)Diabetes Mellitus is one of the leading chronic diseases in the United States as well as in the world. It is a disease that becomes progressively more difficult to manage as time goes by with each patient. It costs the ...
Navigating healthcare transition: Adolescents with special healthcare needs utilizing a transitional care service Tobias, Jane E.Adolescents with special health care needs encounter barriers and challenges during transition to adult health care that have the potential to impact health outcomes and satisfaction with the experience. The use of a ...
DeGrove, Alysha M.; Winfree, Glynnis M.Telehealth is a growing alternate/adjunctive setting for health care delivery and with its rapid growth it is important to make sure telehealth is not only convenient but is meeting the needs of the patients. The question ...
Emergency on campus: Attitudes of interprofessional healthcare students in a simulated patient care experience Morrell, Briyana L. M.; Cartledge, Rebecca Ann; Carmack, Jennifer Nicole; Hetzler, Kathleen Elizabeth; Kemery, Stephanie R.; Moore, Shannon Marie; Nichols, Alison M.; Toon, Jane; Voll, Craig A. Jr.; Moore, Elizabeth S. (2017-10-10)This poster will disseminate results of athletic training, occupational therapy, and nursing students' perceptions of healthcare team members' roles before and after an interprofessional simulation.
Parental Experiences With Healthcare Transition for Adolescent and Emerging Adult Children With Intellectual Disability Franklin, Michelle S.; Docherty, Sharron Lee; Maslow, Gary R.; Pollock, McLean D.; Brotkin, Samuel M.; Beyer, Logan N.Through this qualitative descriptive research study, our research team examined the health care transition (HCT) experiences of adolescents and emerging adults with intellectual disability and their parents. Findings and ...