{"doi":"10.1111/jgs.70085","title":"Association Between Usual Clinician Presence and Emergency Department Revisitation","abstract":"BACKGROUND: Emergency department (ED) visit rates among older adults are increasing, often due to ambulatory care sensitive conditions (ACSCs) that may have been managed through access to a usual clinician-a provider who offers regular outpatient care. We sought to characterize ACSC-related ED visits and all-cause 30-day ED revisits among ED visits of older adults with and without a usual clinician. METHODS: We conducted a pooled cross-sectional analysis of 2015-2020 Medicare Current Beneficiary Survey (MCBS) data linked to traditional Medicare claims of adults 65 and older. We compared ED visits that did and did not have a usual clinician with 3:1 propensity score matching on age, gender, race, chronic condition number (2+ vs. < 2), and geographical area. Our primary outcome was the proportion of ACSC-related Medicare beneficiary ED visits that were and were not associated with a usual clinician. Our secondary outcome was the presence of an all-cause ED revisit in the 30 days following the initial ED visit. RESULTS: We examined 22,484 ED visits between 2015 and 2020, representing over 86 million ED visits nationally. Among ED visits by older adults, 20,849 (92.7%) were among those with a usual clinician. The proportion of ACSC-related ED visits by older adults with and without a usual clinician did not differ (14.8% vs. 14.7%, adjusted marginal difference [AMD] -0.20%, 95% CI: -2.17-1.78, p = 0.97). However, the proportion of all-cause 30-day ED revisits with a usual clinician among older adults was lower when compared with those without a usual clinician (25.6% vs. 35.9%, AMD 7.55%, 95% CI: 4.97-10.13, p < 0.001). CONCLUSION: Emergency visits by older adults for ACSCs were similar regardless of the presence of a usual clinician; however, ED visits among older adults with a usual clinician were less likely to be followed by an ED revisit within 30 days.","journal":"Journal of the American Geriatrics Society","year":2025,"id":574783,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8535,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":413443,"name":"Arjun K. Venkatesh","orcid":"0000-0002-8248-0567","position":1,"is_corresponding":false},{"id":1476992,"name":"Yixuan Liang","orcid":"0009-0005-9585-6219","position":2,"is_corresponding":false},{"id":1389601,"name":"W. Salah","orcid":null,"position":3,"is_corresponding":false},{"id":516790,"name":"Craig Rothenberg","orcid":"0000-0003-3594-600X","position":4,"is_corresponding":false},{"id":270607,"name":"Joseph S. Ross","orcid":"0000-0002-9218-3320","position":5,"is_corresponding":false},{"id":225622,"name":"Ishani Ganguli","orcid":"0000-0002-3793-0995","position":6,"is_corresponding":false},{"id":662940,"name":"Cameron J. Gettel","orcid":"0000-0002-6249-1023","position":7,"is_corresponding":false},{"id":1428577,"name":"Doreen S. Agboh","orcid":null,"position":0,"is_corresponding":true}],"reference_count":23,"raw_metadata":null,"created_at":"2026-07-19T02:57:44.572630Z","pmid":"40938262","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}