{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T22:20:31Z","timestamp":1780698031268,"version":"3.54.1"},"reference-count":11,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2016,10,25]],"date-time":"2016-10-25T00:00:00Z","timestamp":1477353600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:sec id=\"S1463423616000396_abs1\" sec-type=\"general\">\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To understand the frequency, urgency, and\n                                                  rationale of emergency department and urgent care\n                                                  (ED\/UC) use by diabetic patients of a Family\n                                                  Medicine Health Team (FHT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423616000396_abs2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective, observational study with\n                                                  comparison control groups was conducted from 1\n                                                  January 2013 to 31 December 2014. A total of 693\n                                                  diabetic patients were compared with two,\n                                                  age-standardized non-diabetic groups: one with a\n                                                  higher disease burden based on International\n                                                  Classification of Diseases 9 diagnoses and the\n                                                  other from a randomized patient pool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423616000396_abs3\" sec-type=\"general\">\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>The diabetic group utilized ED\/UC services\n                                                  1.25 and 1.92 times more often than the two\n                                                  control populations, consistent with that observed\n                                                  in other studies. Canadian Triage and Acuity Scale\n                                                  scores were essentially the same for the diabetic\n                                                  population. Only 3.1% of visits were for diabetic\n                                                  related emergencies, in contrast to the expected\n                                                  23% by surveyed physicians of the FHT. Diabetic\n                                                  patient\u2019s sought treatment for cellulitis, wounds,\n                                                  abscesses, and infections more often than the\n                                                  control populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1463423616000396","type":"journal-article","created":{"date-parts":[[2016,10,25]],"date-time":"2016-10-25T02:25:54Z","timestamp":1477362354000},"page":"200-207","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Understanding the use of emergency\n                                                  department and urgent care services by diabetic\n                                                  patients of a Family Medicine Health Team: a\n                                                  retrospective observational study"],"prefix":"10.1017","volume":"18","author":[{"given":"Matthew","family":"Ward","sequence":"first","affiliation":[{"name":"Queen\u2019s University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2016,10,25]]},"reference":[{"key":"S1463423616000396_manual_ref-12","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1093\/aje\/kwi071","article-title":"Seasonal patterns in monthly hemoglobin A1c values","volume":"161","author":"Tseng","year":"2005","journal-title":"American Journal of Epidemiology"},{"key":"S1463423616000396_manual_ref-10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2000.tb01070.x"},{"key":"S1463423616000396_manual_ref-11","first-page":"165","volume-title":"Annals of Family Medicine","volume":"9","author":"Rosser","year":"2011"},{"key":"S1463423616000396_manual_ref-6","doi-asserted-by":"publisher","DOI":"10.1177\/193229680900300408"},{"key":"S1463423616000396_manual_ref-5","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1136\/emj.14.6.371","article-title":"How do individuals with diabetes use the accident and emergency department?","volume":"14","author":"Goyder","year":"1997","journal-title":"Journal of Accident and Emergency Medicine"},{"key":"S1463423616000396_manual_ref-9","doi-asserted-by":"crossref","first-page":"1176","DOI":"10.2337\/diacare.26.4.1176","article-title":"Frequency of severe hypoglycemia requiring emergency treatment in Type 1 and Type 2 diabetes: a population-based study of health service resource use","volume":"26","author":"Leese","year":"2003","journal-title":"Diabetes Care"},{"key":"S1463423616000396_manual_ref-3","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1016\/S0891-5520(05)70153-7","article-title":"Infections in diabetes","volume":"15","author":"Calvet","year":"2001","journal-title":"Infectious Disease Clinics of North America"},{"key":"S1463423616000396_manual_ref-2","doi-asserted-by":"publisher","DOI":"10.2337\/dc08-9017"},{"key":"S1463423616000396_manual_ref-7","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.22.10.1660"},{"key":"S1463423616000396_manual_ref-8","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.1001\/archinte.161.10.1301","article-title":"Health care use of individuals with diabetes in an employer-based insurance population","volume":"161","author":"Laditka","year":"2001","journal-title":"Archives of Internal Medicine"},{"key":"S1463423616000396_manual_ref-4","doi-asserted-by":"crossref","first-page":"1748","DOI":"10.2337\/diacare.27.7.1748","article-title":"Patterns and correlates of emergency department use by individuals with diabetes","volume":"27","author":"Egede","year":"2004","journal-title":"Diabetes Care"}],"container-title":["Primary Health Care Research &amp; Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1463423616000396","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T10:20:44Z","timestamp":1780654844000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1463423616000396\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,10,25]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,3]]}},"alternative-id":["S1463423616000396"],"URL":"https:\/\/doi.org\/10.1017\/s1463423616000396","relation":{},"ISSN":["1463-4236","1477-1128"],"issn-type":[{"value":"1463-4236","type":"print"},{"value":"1477-1128","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,10,25]]},"assertion":[{"value":"\u00a9 Cambridge University Press 2016\u00a0","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}