Table 4. Trends in Visits to ED, Urgent Care, Retail Clinic, Telemedicine, and Specialist Venues.
| Visit | Visits per 100 Child-Years | Change, % (95% CI)a | ||
|---|---|---|---|---|
| 2008 | 2016 | Absolute Change | ||
| Primary care | 259.6 | 227.2 | −32.4 | −14.4 (−15.0 to −13.9) |
| Preventive | 74.9 | 83.2 | 8.3 | NA |
| Problem-based | 184.7 | 144.1 | −40.6 | NA |
| Acute care outside of primary care | 21.3 | 27.6 | 6.3 | 30.3 (28.5 to 32.1) |
| ED | 15.4 | 15.3 | −0.1 | NA |
| Urgent care | 5.1 | 8.8 | 3.7 | NA |
| Retail clinic | 0.8 | 2.7 | 1.9 | NA |
| Telemedicine | 0.007 | 0.8 | 0.8 | NA |
| Specialist | 45.2 | 53.5 | 8.3 | 16.4 (14.8 to 18.0) |
| Total | 326.1 | 308.4 | −17.7 | −0.9 (−1.4 to −0.4) |
Abbreviations: ED, emergency department; NA, not applicable.
a
Percent change during study period was estimated from Poisson regression accounting for member time in the plan in a given year.