ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 248
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Hospitalisations and emergency department visits among
children under 18 years: A snapshot of primary care
attachment in Ontario, Canada, 2022
Prof Michael Green1,2, Mr Eliot Frymire1, Rick Glazier2,3, Kamila Premji4, Imaan Bayoumi1,2,
Liisa Jaakkimainen2,3, Tara Kiran2,3, Lynn Roberts1, Peter Gozdyra2, Shahriar Khan1,2
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Queens University, 2Institute for Clinical Evaluative Sciences, 3University of Toronto,
University of Ottawa
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Aims and objectives
Utilising health administrative data in primary care, this study investigates key characteristics of children
under 18 years of age who were hospitalised and who had ED visits in the past two years in relation to
their attachment to a primary care provider in Ontario. An algorithm to assess patient attachment was
developed and validated before as the major objective of this project. Attachment was examined in
terms of patients being attached and uncertainly attached.
Content and approach
This is a cohort study linking several population and health administrative datasets in conjunction
with measures of attachment to a primary care provider. Patient data are stratified according to key
demographics, patient characteristics, healthcare utilisation and primary care indicators. In this study,
children’s age, sex, rurality and immigrant status will be included in relation to attachment and health
services utilisation.
Goal and results
Children with hospitalisations and ED visits in the past two years (April 2020 – March 2022) are more
likely to be attached in all age groups. Both hospitalisations and ED visits are more pronounced in the
under five years age group. Full results will be included in the presentation.
Conclusion
The importance of primary care attachment to children’s hospitalisations and ED visits is evident
although no causal relationship has been examined here. More results including patient characteristics
will be provided in the presentation.
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