+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Correlates of use of health care services by children and adolescents from 11 European countries

Correlates of use of health care services by children and adolescents from 11 European countries

Medical Care 47(2): 161-167

To examine the association between use of health care services and health status, sociodemographic, and health care system characteristics in children and adolescents from 11 European countries. Cross-sectional surveys in representative samples included using phone or school-based sampling. Children and adolescents aged 8-18 years and their parents. Questionnaires were administered in households or at schools in Austria, Czech Republic, France, Germany, Greece, Hungary, Poland, Spain, Switzerland, the Netherlands, and the United Kingdom. Any visit to ("access") and number of visits ("intensity of use") to health care professionals during the previous 12 months. The study included 16,210 parent-child pairs. In a multivariate analysis, variables statistically associated with access included the following: health status (more disability days, more chronic conditions), sociodemographic characteristics (being younger, being female, having a higher socioeconomic status, or higher parental educational level), and health system variables (higher percentage of public health expenditure, widespread private health care coverage, pediatrician-led system). The strongest association was with disability days [odds ratio (OR) = 6.92; 95% confidence interval (CI) = 5.24-9.14 for 5-15 days]. In the "intensity of use" model, sociodemographic (being younger, strong social support) and health status (chronic conditions, disability days, psychiatric disorders, psychosomatic complaints, poor health-related quality of life) characteristics were associated with greater intensity of use. Health system variables were not significant in this model. The likelihood of contacting the health services is a function of health status, socioeconomic factors, and health system characteristics. Intensity of use among those having made contact is associated with health status and sociodemographic characteristics but not with health system characteristics.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 052356055

Download citation: RISBibTeXText

PMID: 19169116

DOI: 10.1097/mlr.0b013e3181844e09

Related references

Correlates of Use of Health Care Services by Children and Adolescents from 11 European Countries. Medical Care 47(2): 161-167, 2009

Implementation of preventive mental health services for children of physically ill parents: experiences in seven European countries and health care systems. General Hospital Psychiatry 35(2): 147-153, 2013

Mental health of children and adolescents in 12 European countries-results from the European KIDSCREEN study. Clinical Psychology and PsychoTherapy 15(3): 154-163, 2009

Overall satisfaction of health care users with the quality of and access to health care services: a cross-sectional study in six Central and Eastern European countries. Bmc Health Services Research 16(A): 342, 2017

Disabled older people's use of health and social care services and their unmet care needs in six European countries. European Journal of Public Health 23(6): 1032-1038, 2014

Correlates of unmet need for mental health services by children and adolescents. Psychological Medicine 27(5): 1145-1154, 1997

Mental health care services for children with special health care needs and their family members: prevalence and correlates of unmet needs. Pediatrics 117(6): 2138-2148, 2006

Socioeconomic inequalities in mental health and health-related quality of life (HRQOL) in children and adolescents from 11 European countries. International Journal of Public Health 59(1): 95-105, 2014

Integrated personal health and care services deployment: experiences in eight European countries. International Journal of Medical Informatics 82(7): 626-635, 2014

Mental Health Services for Children and Adolescents in the European Region. International Journal of Mental Health 7(1-2): 65-74, 1978

Health services for children in some western European countries: their significance for the United States. Pediatrics 42(5): 845-854, 1968

Health status of children--now and in the year 2000. IV. Health care services for children and adolescents. The physician's role. Ugeskrift for Laeger 149(22): 1487-1489, 1987

Integrating Health and Social Care Services for Older Persons: Evidence from Nine European Countries. Health & Social Care in the Community 14(4): 367-368, 2006

Treated prevalence of and mental health services received by children and adolescents in 42 low-and-middle-income countries. Journal of Child Psychology and Psychiatry, and Allied Disciplines 52(12): 1239-1246, 2012

Quality of health care in adolescents and adults with disorders/differences of sex development (DSD) in six European countries (dsd-LIFE). Bmc Health Services Research 18(1): 527, 2018