title: An after-hours pediatric walk-in clinic for an entire urban community: utilization and effectiveness of follow-up care.
abstract: A retrospective record review was used to examine utilization of a pediatric walk-in clinic available to an entire urban community and to evaluate the effectiveness of follow-up care for a sample of the users of this facility who receive their regular pediatric care at a local comprehensive child health center. Results indicate that this walk-in facility is used extensively for the care of nonemergency conditions. The findings did not, however, support the generally accepted belief that a disproportionate number of Medicaid-supported and minority children overuse emergency type facilities. Utilization did not differ by race or medical care financing. Only 35.6% of the children who were advised to make a follow-up visit to the health center actually did so. White children complied significantly more often than black children (48.0% vs 15.8%). A larger percentage of patients for whom follow-up was optional (48.5%) than for whom follow-up was recommended (35.6%) made a return visit. Noncompliance with recommendations concerning follow-up care of adult users of emergency type facilities is a well recognized problem; the present study demonstrates a similar problem among children.
mesh_terms: D001741:Black or African American; D000359:Aftercare; D002648:Child; D002662:Child Health Services / Q000706:statistics & numerical data*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005381:Financing, Organized; D006300:Health Services Misuse; D006801:Humans; D008484:Medicaid; D008498:Medical Record Linkage; D008824:Michigan; D008913:Minority Groups; D010349:Patient Compliance; D012189:Retrospective Studies; D014505:Urban Population; D044465:White People