{"id":23528,"date":"2026-03-28T12:30:20","date_gmt":"2026-03-28T16:30:20","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=23528"},"modified":"2026-04-14T12:35:12","modified_gmt":"2026-04-14T16:35:12","slug":"primary-care-utilization-and-attachment-among-burn-survivors","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/primary-care-utilization-and-attachment-among-burn-survivors\/","title":{"rendered":"Primary care utilization and attachment among burn survivors: a population-based matched cohort study"},"content":{"rendered":"<p><strong>Background<\/strong> \u2014 Many burn survivors experience poor long-term outcomes, including reduced quality of life and greater mortality than the general population, yet post-discharge interventions to improve these outcomes remain underexplored. Given that access to primary care is associated with improved long-term health, we sought to characterize post-discharge primary care utilization among burn survivors to guide healthcare resource planning and support the long-term health of this population.<\/p>\n<p><strong>Methods<\/strong> \u2014 This retrospective, population-based, matched cohort study identified adults who survived to discharge after major burn injury between 2010 and 2022. Burn survivors were matched with up to five individuals without burn injuries on age, sex, and a propensity score based on individuals\u2019 medical and psychiatric comorbidity, rurality, immigration status, and socioeconomic characteristics. The primary outcome was rate of primary care provider (PCP) visits within two years post-discharge, and the secondary outcome was post-discharge PCP attachment. PCP visit rates were analyzed using a Generalized Estimating Equation (GEE) negative binomial regression, and PCP attachment was assessed using a GEE log-binomial model.<\/p>\n<p><strong>Results<\/strong> \u2014 We identified 1925 burn survivors (median [IQR] age 47 [27] years, 73% male) and matched them to 9484 controls. The mean PCP visit rate was higher in burn survivors (4.4 vs. 3.5 visits per person-year; RR = 1.29, 95% CI: 1.20\u20131.39, p\u202f&lt;\u202f0.001). Burn survivors had more visits for mental health, while matched controls had more visits for routine care. PCP attachment was similar between burn survivors and controls (90% vs. 89%; RR = 1.01, 95% CI: 0.99\u20131.03, p\u202f=\u202f0.17).<\/p>\n<p><strong>Conclusion<\/strong> \u2014 Burn survivors had greater primary care utilization than matched controls without burn injuries in the two years after burn injury. Given both the complexity and rarity of burn injuries, post-discharge care models are needed to support PCPs with the management of long-term burn-related care.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background \u2014 Many burn survivors experience poor long-term outcomes, including reduced quality of life and greater mortality than the general population, yet post-discharge interventions to improve these outcomes remain underexplored. Given that access to primary care is associated with improved long-term health, we sought to characterize post-discharge primary care utilization among burn survivors to guide [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[62,55,28],"migration-helper-qa-sample-set":[],"class_list":["post-23528","journal_article","type-journal_article","status-publish","hentry","topic-health-services-research","topic-injuries-and-accidents","topic-primary-care"],"acf":{"citation":"Little D, Yee EK, Haas B, Rosella L, Postill G, Zagorski B, Jaakkimainen L, Mason S. <em>Burns<\/em>. 2026 ;52(5):107985. Epub 28 Mar 2026.","source_url":"https:\/\/doi.org\/10.1016\/j.burns.2026.107985","ices_scientist":[1265,1339,1283,1329],"site":[6733],"research_program":[6747,6745],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Primary care utilization and attachment among burn survivors: a population-based matched cohort study<\/title>\n<meta name=\"description\" content=\"Background \u2014 Many burn survivors experience poor long-term outcomes, including reduced quality of life and greater mortality than the general population,\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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