Predictors of adolescent health care utilization

Vingilis, Evelyn; Wade, Terrance J.; Seeley, Jane

doi:10.1016/j.adolescence.2006.10.001

Cited by 83 publications

(82 citation statements)

References 87 publications

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“…Our results supported earlier findings that boys may use more health care services than girls [19, 20]. It is likely that boys report more injuries [14, 60]. In addition, previous studies showed that boys may have more biological health problems, such as respiratory diseases and autoimmune diseases, than girls [61, 62].…”

Section: Discussionsupporting

confidence: 91%

The role of parental health care utilization in children’s unnecessary utilization in China: evidence from Shaanxi province

Zhang

Zhou

2017

Int J Equity Health

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BackgroundChina has a large population of children under 18 years of age, whose health is of great concern to the Chinese health care system. However, few studies have been conducted to analyze the factors associated with children’s unnecessary health care utilization in China. The objective of this study is to provide some empirical evidence on this issue by investigating the role of parental health care utilization in children’s unnecessary health care use.MethodsThe data were obtained from the fifth Health Service Survey of Shaanxi province in 2013. We employed three dependent variables to measure children’s health care utilization: the number of children’s outpatient visits during the past 2 weeks, whether or not infusion was used if the child had any outpatient visits during the past 2 weeks, and the number of children’s inpatient visits during last year. Based on specific characteristics of these outcome variables, negative binomial models were used for the non-negative numbers of outpatient and inpatient visits, while a probit model was used for the zero-one indicator variable showing whether infusion was used during outpatient visits.ResultsBased on a sample of 11,024 children, our results of multivariate analysis showed that children whose parents used outpatient care were estimated to have a larger number of outpatient visits than those whose parents did not have outpatient visits in the past 2 weeks (with a difference of 0.0393 visits). Among children having outpatient visits in the last 2 weeks, the probability of obtaining infusion was 57.01 percentage points higher for children whose parents used infusion in the past 2 weeks than the probability for those whose parents did not use infusion. The predicted number of inpatient visits was higher for children whose parents used inpatient services in the last year, compared with the group whose parents did not use (with a difference of 0.0567 visits). Moreover, we noted that the positive association between parental and children’s health care use was more prominent among younger children.ConclusionsChinese children whose parents were high health care users were more likely to overuse health care services, holding other factors constant. Parents can play an important role in reducing children’s unnecessary outpatient visits, infusion use, and inpatient visits. The results suggest that interventions aimed at affecting patterns of parental use may be helpful in improving appropriate health care utilization for children.

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Section: Discussionsupporting

confidence: 91%

The role of parental health care utilization in children’s unnecessary utilization in China: evidence from Shaanxi province

Zhang

Zhou

2017

Int J Equity Health

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“…Andersen's behavioral model (Andersen 1995), which encompasses individual and contextual dimensions, can be used to analyze global service use. But this model, despite its use in general population health surveys (Chou et al 2008;Digiusto and Treloar 2007;Tsao et al 2005;Vingilis et al 2007) and mental-health studies (Bijl 2000;Lefebvre et al 1998;Lin et al 1997;Vasiliadis et al 2005) has rarely been employed in studies on patients with SMD (Carr et al 2003;Lemming and Calsyn 2004).…”

Section: Introductionmentioning

confidence: 97%

Mental Health Service Utilization Among Patients with Severe Mental Disorders

Fleury

Grenier

Bamvita

et al. 2010

Community Ment Health J

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In light of healthcare reforms, the study aims to assess variables associated with mental healthcare service utilization in general and in both primary and specialized care by patients with severe mental disorders (SMD, mainly schizophrenia). The study is based on a sample of 140 patients with SMD from five regions in Quebec (Canada). Variables were organized in accordance with Andersen's conceptual model into four factors: predisposing, enabling, needs, and service utilization. Secondary analyses were also conducted comparing patients who were hospitalized or used emergency rooms (H.ER-Group) with patients who did not use such services (WH.ER-Group). Accessibility of services, continuity of care, and having a case manager appear to be core variables that enable service utilization. Compared with the WH.ER-Group, the H.ER-Group used twice as many services. The study highlights the importance of developing a gamut of coordinated services, easily accessible in local networks, including case managers, family physicians, and shared-care development.

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“…There are studies that look at adolescents' use of all types of physicians: United States [3-18], Canada [19,20], and Spain [21]. Many of these are solely descriptive, providing only mean number of visits or proportions of adolescents making visits, sometimes stratifying by age, race, income/insurance.…”

Section: Introductionmentioning

confidence: 99%

Understanding adolescent and young adult use of family physician services: a cross-sectional analysis of the Canadian Community Health Survey

et al. 2011

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BackgroundPrimary health care is known to have positive effects on population health and may reduce at-risk behavior and health problems in adolescence. Yet little is known about the factors that are associated with adolescent and young adult utilization of family physician services. It is critical to determine the factors associated with utilization to inform effective primary health care policy. We address this gap in the primary health care literature by examining three issues concerning adolescent and young adult family physician use: inequity; the unique developmental stage of adolescence; and the distinction between utilization (users versus non-users) and intensity (high users versus low users).MethodsWe conducted nested logistic regressions for two outcomes: utilization and intensity of family physician services for early adolescence, middle adolescence, and young adulthood using the 2005 Canadian Community Health Survey.ResultsChronic conditions were associated with utilization in early and middle adolescence and intensity in all age groups. Respondents from Quebec had lower odds of utilization. Those without a regular medical doctor had much lower odds of being users. The factors associated with use in early and middle adolescence were in keeping with parental involvement while the factors in young adulthood show the emerging independence of this group.ConclusionsWe highlight key messages not known previously for adolescent and young adult use of family physician services. There is inequity concerning regional variation and for those who do not have a regular medical doctor. There is variation in factors associated with family physician services across the three age groups of adolescence. Health care and health care policies aimed at younger adolescents must consider that parents are still the primary decision-maker while older adolescents are more autonomous. There is variation in the factors associated with the two outcomes of utilization and intensity of services. Factors associated with utilization must be understood when considering the equitability of access to primary health care while factors associated with intensity must be understood when considering appropriate use of resources. The understanding gained from this study can inform health care policy that is responsive to the critical developmental stage of adolescence and young adulthood.

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Predictors of adolescent health care utilization

Cited by 83 publications

References 87 publications

The role of parental health care utilization in children’s unnecessary utilization in China: evidence from Shaanxi province

The role of parental health care utilization in children’s unnecessary utilization in China: evidence from Shaanxi province

Mental Health Service Utilization Among Patients with Severe Mental Disorders

Understanding adolescent and young adult use of family physician services: a cross-sectional analysis of the Canadian Community Health Survey

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