Table 3. Change in Primary Care Visit Rate by Visit Characteristics Among Commercially Insured US Children, 2008 to 2016.
| Characteristic | Visits per 100 Child-Years | Absolute Change | Relative Change, % (95% CI)a | |
|---|---|---|---|---|
| 2008 | 2016 | |||
| Visit type | ||||
| Preventive | 74.9 | 83.2 | 8.3 | 9.9 (9.0 to 10.9) |
| Problem-based | 184.7 | 144.1 | −40.6 | −24.1 (−24.6 to −23.5) |
| Problem-based visit diagnosis group | ||||
| Ear/nose/throat/mouth/dental | 78.9 | 55.7 | −23.2 | −33.0 (−33.7 to −32.3) |
| Respiratory | 20.3 | 13.7 | −6.7 | −33.4 (−34.6 to −32.3) |
| Skin | 16.4 | 11.4 | −5.0 | −29.6 (−30.8 to −28.4) |
| Systemic | 14.1 | 10.7 | −3.4 | −17.6 (−19.1 to −16.1) |
| Gastrointestinal | 11.3 | 8.8 | −2.5 | −20.8 (−22.7 to −19.0) |
| Trauma | 7.0 | 5.1 | −1.9 | −24.8 (−26.6 to −23.0) |
| Eye | 4.5 | 3.6 | −0.9 | −22.3 (−24.7 to −19.9) |
| Psychiatric or behavioral | 4.4 | 6.1 | 1.7 | 42.0 (36.8 to 47.3) |
| Musculoskeletal | 4.1 | 3.6 | −0.5 | −14.0 (−16.6 to −11.3) |
| Urinary | 3.0 | 2.1 | −0.9 | −32.0 (−34.7 to −29.2) |
| Neurologic | 2.4 | 2.1 | −0.2 | −8.0 (−11.8 to −3.9) |
| Endocrine or metabolic | 2.3 | 2.1 | −0.2 | −5.4 (−10.9 to −0.5) |
| Genitourinary | 1.4 | 1.2 | −0.2 | −19.4 (−23.5 to −15.1) |
| Allergic | 1.4 | 1.1 | −0.3 | −13.9 (−18.7 to −8.8) |
| Otherb | 13.2 | 16.7 | 3.5 | 10.9 (9.9 to 11.8) |
a
Relative change during study period was estimated from Poisson regression accounting for member time in the plan in a given year.
b
“Other” includes visits categorized as “other” (11.9 visits per 100 child-years in 2008) and visits categorized in diagnosis groups with <1 visit per child-year (cardiovascular: 0.5; hematologic: 0.3; child abuse: 0.2; oncologic: 0.1; toxin: 0.1; and fluids/electrolyte/nutrition: 0.1).