@article{ETD, recid = {2167}, author = {Ludwick, Meika}, title = {Geographical variables and emergency department utilization in children enrolled in a Medicaid HMO}, publisher = {Oregon Health and Science University}, school = {M.P.H.}, address = {2006}, number = {ETD}, abstract = {Many pediatric Medicaid patients use emergency departments (EDs) for primary care, yet the role of geographic proximity in ED utilization is unclear. This cohort study of 26,038 children examined whether ED use was associated with proximity to primary care practices, the nearest ED, or a children’s hospital. After adjustment for demographic and practice characteristics, greater distance from a primary care site was associated with increased ED use, while greater distance from an ED was associated with reduced use. Proximity influences ED utilization, though patient and primary care characteristics remain stronger predictors.}, url = {http://digitalcollections.ohsu.edu/record/2167}, doi = {https://doi.org/10.6083/M4TM78CC}, }