The Permanente journal · 2026
Health Care Use Among Recently Enrolled Young Adults in an Integrated Health Plan.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Eaton Abigail, Prausnitz Stephanie R, Tran H Nicole
Аннотация
INTRODUCTION: Early establishment of a primary care practitioner (PCP) may enhance young adults' ability to navigate the health care system, particularly those new to integrated care.
METHODS: The study population included 18- to 26-year-old individuals newly enrolled in 2023 at Kaiser Permanente Northern California (N = 30,099). This cross-sectional study examined associations between early establishment of a PCP (indicated in the electronic health record) and several outcomes: creation of secure messaging accounts, secure messaging use, appointment and advice call center use, e-visit use, emergency department (ED) utilization, and screening for mental health, alcohol, exercise, and tobacco use. Adjusted incidence rate ratios were estimated using a modified Poisson model controlling for sex, age, race and ethnicity, need for an interpreter, insurance type, neighborhood deprivation, and chronic health problem.
RESULTS: Young members with early establishment of a PCP were more likely to utilize modalities of care that were outside of traditional office visits and had higher rates of preventive screening. They also demonstrated a 10% reduction in the likelihood of a low-acuity ED visit compared to those without early PCP connection.
DISCUSSION: Improved navigation of health care resources and uptake of preventive screening with reduced reliance on ED visits were seen among some groups with early establishment of a PCP.
CONCLUSION: Promoting PCP visits and targeted PCP outreach to those living in lower socioeconomic neighborhoods may foster beneficial health care relationships during this transitional life stage.
METHODS: The study population included 18- to 26-year-old individuals newly enrolled in 2023 at Kaiser Permanente Northern California (N = 30,099). This cross-sectional study examined associations between early establishment of a PCP (indicated in the electronic health record) and several outcomes: creation of secure messaging accounts, secure messaging use, appointment and advice call center use, e-visit use, emergency department (ED) utilization, and screening for mental health, alcohol, exercise, and tobacco use. Adjusted incidence rate ratios were estimated using a modified Poisson model controlling for sex, age, race and ethnicity, need for an interpreter, insurance type, neighborhood deprivation, and chronic health problem.
RESULTS: Young members with early establishment of a PCP were more likely to utilize modalities of care that were outside of traditional office visits and had higher rates of preventive screening. They also demonstrated a 10% reduction in the likelihood of a low-acuity ED visit compared to those without early PCP connection.
DISCUSSION: Improved navigation of health care resources and uptake of preventive screening with reduced reliance on ED visits were seen among some groups with early establishment of a PCP.
CONCLUSION: Promoting PCP visits and targeted PCP outreach to those living in lower socioeconomic neighborhoods may foster beneficial health care relationships during this transitional life stage.