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Home CCSU Theses & Dissertations Identifying patterns of potentially preventable emergency department utilization by American...

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Identifying patterns of potentially preventable emergency department utilization by American children

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Identifier	Thesis 1899
Author	Alber, Kathleen M.
Title	Identifying patterns of potentially preventable emergency department utilization by American children
Publisher	Central Connecticut State University
Date	2007
Resource Type	Master's Thesis
Notes	Emergency department care and primary care are ideally distinct parts of the health care delivery system. In theory, each answers a specific and different health care need. However, in practice this distinction blurs. Many visits to hospital emergency departments are potentially preventable by timely and appropriate primary care. This paper employs a descriptive data mining approach to the analysis of data collected by the National Survey of Children's Health 2003 with the purpose of identifying global and local patterns of potentially preventable emergency department utilization by American children. Understanding the factors influencing the decision to seek emergency department care is an essential step in ensuring adequate and appropriate health care for all children. Using SPSS Clementine® data mining software, classification models are employed to discover nationally significant and geographically specific patterns of potentially preventable emergency department utilization by children. This paper identifies numerous patterns. Globally, requirement for care, age, and insurance type were found to be the most significant predictors of the target behavior. Local patterns characterize several subsets of the population who are significantly associated with potentially preventable emergency department utilization. These characterizations often logically suggest theories which explain a group's association with such behavior. In many cases, further directed research would be required to confirm and clarify these assumptions. These are noted throughout this paper. Access to quality primary care logically influences the choice of emergency department care to treat a potentially preventable condition. The American Academy Preventable ED Utilization by Children of Pediatrics has developed the concept of a ‘medical home' and detailed the specific requirements for care defining its existence. This study describes a method of utilizing survey responses to measure each child's association with a medical home. Association rule mining is used to characterize groups of children according to association with a medical home and investigate potentially preventable emergency department utilization in the context of access to primary care. Differences in characteristic patterns of health care utilization for these groups are evident, suggesting that efforts to encourage the appropriate use of primary care in place the emergency care would most effectively be tailored according to level of access to primary care.
Subject	Hospitals -- Emergency services -- Utilization Children -- Health and hygiene
Department	Department of Mathematical Sciences
Advisor	Larose, Daniel T.
Type	Text
Digital Format	application/pdf
Language	eng
OCLC number	713734091
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