Organisation of paediatric primary care and access to emergency room: an observational study in Italy.

Ease of access to primary care may be inversely related to non-emergency access to emergency room services (ERS). We assessed whether patients of general paediatricians working in networks have reduced the use of ERS in an Italian province. In 9 months, overall rates of visits and repeated ER visits were numerically higher for patients of solo paediatricians than for those of paediatricians working in networks. However, in our sample, the reduction of the corresponding adjusted risks was not statistically significant most of the time. Further research should assess whether organisational factors are associated with the risk of using ERS inappropriately.