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Predictors of the use of healthcare services in children and adolescents in Spain.
MedLine Citation:
PMID:  22552748     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To assess medium to long term predictors of healthcare services use in a population-based sample of children/adolescents in Spain. METHODS: A sample of children and adolescents aged 8-18 and their parents were evaluated at baseline (2003) and follow-up (2006). Total use of healthcare services and visits to specialist and dentists at the follow-up were analyzed. RESULTS: Four hundred fifty-four children/adolescents completed baseline and follow-up assessments (response rate 54 %). 90 % of respondents reported at least one visit during the 12 months previous to the follow-up. Low socioeconomic status (beta coefficient = 0.30; 95 % CI = 0.02-0.57), double healthcare coverage (0.41; 0.17-0.66), parental use of services, poor mental health and activity limitation were associated to the total number of visits. Access to specialist was associated to double healthcare coverage (OR = 1.77; 1.01-3.07) and parental primary level of education (OR = 0.51; 0.32-0.81). Age and low family affluence predicted visits to dentists (OR = 0.38; 0.19-0.73). CONCLUSION: No barriers to healthcare services use were found. Family level of education, family affluence and double healthcare coverage predicted the use of specialists and dentists.
Authors:
Jorge-A Palacio-Vieira; Ester Villalonga-Olives; Jose María Valderas; Michael Herdman; Jordi Alonso; Luis Rajmil
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-5-3
Journal Detail:
Title:  International journal of public health     Volume:  -     ISSN:  1661-8564     ISO Abbreviation:  -     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-5-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101304551     Medline TA:  Int J Public Health     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Catalan Agency for Pulic Health, Roc Boronat, 81-95 (3a planta), 08005, Barcelona, Spain, jorgepalaciov@gmail.com.
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