Journal article
Time Series Analysis: Associations Between Temperature and Primary Care Utilization in Philadelphia, Pennsylvania
American journal of preventive medicine, v 67(5), pp 658-665
20 Jun 2024
PMID: 38908724
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Earth's temperature has risen by an average of 0.11°F per decade since 1850 and experts predict continued global warming. Studies have shown that exposure to extreme temperatures is associated with adverse health outcomes. Missed primary care visits can lead to incomplete preventive health screenings and unmanaged chronic diseases. This study examines the associations between extreme temperature conditions and primary care utilization among adult Philadelphians.
A total of 1,048,575 appointments from 91,580 patients age ≥ 18 years enrolled in the study at thirteen university-based outpatient clinics in Philadelphia from January 1, 2009 to December 31, 2019. Statistical analysis was performed from June to December 2023. Data on attended and missed appointments was linked with measures of daily maximum temperature and precipitation, stratified by warm and cold seasons. Sociodemographic variables and associations with chronic disease status were explored.
Rates of missed appointments increased by 0.72% for every 1°F decrease in daily maximum temperatures below 39°F and increased by 0.64% for every 1°F increase above 89°F. Individuals ≥ 65 years and those with chronic conditions had stronger associations with an increased rate of missed appointments.
Temperature extremes were associated with higher rates of missed primary care appointments. Individuals with chronic diseases were more likely to have missed appointments associated with extreme temperatures. The findings suggest the need for primary care physicians to explore different modes of care delivery to support vulnerable populations, such as making telemedicine during extreme weather events a viable and affordable option.
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Details
- Title
- Time Series Analysis: Associations Between Temperature and Primary Care Utilization in Philadelphia, Pennsylvania
- Creators
- Janet H. Fitzpatrick - Drexel University, MD (Doctor of Medicine) ProgramAdrienne Willard - Drexel University, MD (Doctor of Medicine) ProgramJanelle R. Edwards - Drexel University, Urban Health CollaborativeMeera N. Harhay - Drexel University, College of MedicineLeah H. Schinasi - Drexel University, Urban Health CollaborativeJanet Matthews - Drexel University, SOM Dean - Research AdministrationNathalie May (Corresponding Author) - Drexel University, MD (Doctor of Medicine) Program
- Publication Details
- American journal of preventive medicine, v 67(5), pp 658-665
- Publisher
- Elsevier
- Number of pages
- 8
- Grant note
- Drexel University Collaboratory Environmental Inaugural Research Grant
The authors would like to thank the Drexel University Collaboratory Environmental Inaugural Research Grant committee. The research reported in this paper was supported by the Drexel University Collaboratory Environmental Inaugural Research Grant. The content of this paper is solely the responsibility of the authors and does not necessarily represent the official views of Drexel University. None of the authors have a conflict of Interest. Nathalie May, MD has no financial disclosures. Janet H. Fitzpatrick, MD has no financial disclosures. Adrienne Willard, MD has no financial disclosures. Janelle R. Edwards, MPH has no financial disclosures. Meera N. Harhay, MD has a consultancy agreement with Nephria Bio. Leah H. Schinasi, PhD has no financial disclosures. Janet Matthews, MSN RN has no financial disclosures.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- MD (Doctor of Medicine) Program; College of Medicine; SOM Dean - Research Administration; Environmental and Occupational Health
- Web of Science ID
- WOS:001343317400001
- Scopus ID
- 2-s2.0-85198581853
- Other Identifier
- 991021886512504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health