Published online September 21, 2009
PEDIATRICS Vol. 124 No. 4 October 2009, pp. 1206-1207 (doi:10.1542/peds.2009-1284)
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COMMENTARY

How Do We Support Follow-up With the Primary Care Provider After an Emergency Department Visit for Asthma?

Mona E. Mansour, MD, MS

Division of General and Community Pediatrics, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio

Abbreviations: ED—emergency department • PCP—primary care provider

The first 20% of the full text of this article appears below.

Many investigators and clinicians have struggled to understand 2 related problems: (1) why urban children seek care in the emergency department (ED) for ambulatory care–sensitive conditions and (2) how to ensure follow-up for that visit with the medical home. Gaining insight into these patient health care–seeking behaviors will aid in the development of interventions to help design the health care system to improve health outcomes for children and reduce health care costs. In this issue of Pediatrics, the study conducted by Zorc et al1 highlights an attempt to implement an intervention that would be feasible to deliver in an ED setting and would increase the likelihood of follow-up with the primary care provider (PCP) for a group of urban children with asthma.

The study is unique in that it addressed parental health beliefs regarding patient follow-up with a PCP. Previous studies with this population have indicated that it is often not access to a provider or financial capabilities that prevent children from . . . [Full Text of this Article]

Address correspondence to Mona E. Mansour, MD, MS, Cincinnati Children's Hospital Medical Center, Division of General and Community Pediatrics, Department of Pediatrics, University of Cincinnati, 3333 Burnet Ave, ML 2011, Cincinnati, OH 45229. E-mail: mona.mansour@cchmc.org


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