Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care

Abstract

Objective Few studies have examined adolescent self-report of patient-centered care (PCC). We investigated whether adolescent self-report of PCC varied by patient characteristics and whether receipt of PCC is associated with measures of adolescent primary care quality. Methods We analyzed cross-sectional data from Healthy Passages, a population-based survey with 4,105 tenth-graders and their parents. Adolescent report of PCC was derived from four items. Adolescent primary care quality was assessed by measuring access to confidential care, screening for important adolescent health topics, unmet need, and overall rating of health care. We conducted weighted bivariate analyses and multivariate logistic regression models of the association of PCC with adolescent characteristics and primary care quality. Results Forty-seven percent of adolescents reported that they received PCC. Report of receiving PCC was associated with high quality for other measures such as having a private conversation with a clinician (AOR 2.2; 95%CI [1.9, 2.6]) and having talked about health behaviors (AOR 1.6; 95%CI [1.4, 1.8]); it was also associated with lower likelihood for self-reported unmet need for care (AOR 0.8; 95% CI [0.7, 0.9]) and having a serious untreated health problem (AOR 0.4; 95% CI [0.3, 0.5]). Conclusions Many adolescents do not report receiving PCC. Adolescent-reported PCC positively correlates with measures of high-quality adolescent primary care. Our study provides support for using adolescent-report of PCC as a measure of adolescent primary care quality.

Patient centred consultation, satisfaction and young patients: A cross-country analysis

“…In addition, it may be possible to identify psychological and social factors influencing health-risk behaviors such as smoking and alcohol consumption [29,30,31,32]. Several studies revealed that the assessment of psychological and social issues during medical consultations is related to positive experience, disclosure, and engagement with care of adolescents and young adults [33,34,35], supporting the current results. Furthermore, the present findings are consistent with a review conducted by Ambresin et al [36] Table 4).…”

Experience of Primary Care Services Among Early Adolescents in England and Association With Health Outcomes

“…The response rate was very high (over 90%) in contrast to some school-based surveys in other countries which report much lower rates of parental agreement to participate. (32) Another strength is that the questions include a range of important health complaints among this age group and key aspects of GP consultations that have been highlighted in previous literature. (33) However, other data which have been previously studied and would have been of interest were not included.…”

Preferências dos adolescentes sobre os cuidados de saúde

“…As sugestões que emergem dos dados para mudanças futuras assentam em alguns dos critérios de qualidade definidos para os serviços de saúde amigos dos adolescentes 16,17,27 , como o serem mais acessíveis com horários, locais e funcionamento, que permitam o fácil acesso, apropriados ao disponibilizarem serviços adequados às suas necessidades, e aceitáveis quando oferecem cuidados que respondem às expetativas dos adolescentes motivando a procura 16,17,20 . Estes requisitos têm subjacente a filosofia dos cuidados centrados na pessoa do adolescente, uma medida da qualidade de cuidados em saúde 18,19 .…”

“…Ou seja, serviços que cumpram critérios de qualidade, atendendo a um conjunto de características e condições: sejam acessíveis, aceitáveis, apropriados, efetivos e que respeitem a equidade 17 . Neste contexto, cuidados de saúde de qualidade correspondem a cuidados centrados na pessoa do adolescente, ou seja, que respeitam e respondem às preferências, necessidades e valores dos adolescentes 18 .…”