+ 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

Utilization of health services in physician offices and outpatient clinics by adolescents and young women in the United States: implications for improving access to reproductive health services



Utilization of health services in physician offices and outpatient clinics by adolescents and young women in the United States: implications for improving access to reproductive health services



Journal of Adolescent Health 46(4): 324-330



We examined utilization patterns of adolescents and young women as they seek general and reproductive health services in physician offices and hospital outpatient clinics. We analyzed physician office visits in the 2003-2006 National Ambulatory Medical Care Surveys, and hospital outpatient clinic visits in the National Hospital Ambulatory Medical Care Surveys, to examine utilization patterns of females aged 9-26 years by 2-year age intervals and other characteristics such as physician specialty or clinic type. The number of visits to primary care physician offices increased with age, from 4.9 million for ages 9-10 years to 9.0 million for ages 25-26 years. The proportion of visits made to obstetrician-gynecologists and family practitioners increased with age, and by ages 15-16 years fewer than half of all visits to primary care providers were made to pediatricians. The proportion of visits to family practitioners increased from 25% at ages 9-10 years to 30% at ages 25-26 years. By ages 17-18 years, a larger proportion of visits were made to obstetrician-gynecologists (33% of 7.0 million visits) and to family practitioners (34%) than to pediatricians (23%). The proportion of visits for reproductive health services peaked at 53% of 7.5 million physician visits at ages 20-21 years. Similar utilization patterns were observed for the 11.0 million hospital outpatient visits to primary care providers. Because adolescents and young women most commonly utilize healthcare services provided by obstetrician-gynecologists and family practitioners, these specialties should be priority targets for interventions to improve the quality and availability of reproductive health services.

Please choose payment method:






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

Accession: 056824606

Download citation: RISBibTeXText

PMID: 20307820

DOI: 10.1016/j.jadohealth.2009.09.002


Related references

Health Sector Reforms: Implications for Sexual and Reproductive Health Services || Privatisation of Health Services and the Reproductive Health of Rural Chinese Women. Reproductive Health Matters 10(20): 108-116, 2002

Utilization of mental health services among adolescents in community-based substance abuse outpatient clinics. Journal of Behavioral Health Services and Research 36(1): 35-51, 2007

Health Sector Reforms: Implications for Sexual and Reproductive Health Services || Gender Dimensions of User Fees: Implications for Women's Utilization of Health Care. Reproductive Health Matters 10(20): 127-134, 2002

Sentinel surveillance of human immunodeficiency virus infection in women seeking reproductive health services in the United States, 1988-1989. The Field Services Branch. Obstetrics and Gynecology 79(4): 503-510, 1992

Improving access to mental health services for youth in the United States. JAMA 309(6): 553-554, 2013

Opportunities and limitations for using new media and mobile phones to expand access to sexual and reproductive health information and services for adolescent girls and young women in six Nigerian states. African Journal of Reproductive Health 16(2): 219-230, 2012

Adolescents' use of school-based health clinics for reproductive health services: data from the National Longitudinal Study of Adolescent Health. Journal of School Health 70(1): 22-27, 2000

Utilization of Mental Health Services in Educational Setting by Adolescents in the United States. Journal of School Health 2019, 2019

The Starting Early Starting Smart Integrated Services Model: Improving Access to Behavioral Health Services in the Pediatric Health Care Setting for At-Risk Families with Young Children. Journal of Child and Family Studies 19(1): 42-56, 2010

Part 2: Health Services Research I. A Series of Papers Commissioned by the Health Services Research Study Section of the United States Public Health Service. Discussed at a Conference Held in Chicago, October 15-16, 1965 || Research on the Demand for Health Services. Milbank Memorial Fund Quarterly 44(3): 128-165, 1966

Part 2: Health Services Research I. A Series of Papers Commissioned by the Health Services Research Study Section of the United States Public Health Service. Discussed at a Conference Held in Chicago, October 15-16, 1965 || Facilities and Equipment for Health Services: Needed Research. Milbank Memorial Fund Quarterly 44(3): 249-272, 1966

The effect of local primary care physician supply on the utilization of preventive health services in the United States. Health and Place 16(5): 942-951, 2010

Impact of type of insurance plan on access and utilization of health care services for adults aged 18-64 years with private health insurance: United States, 2007-2008. Nchs Data Brief 2010(28): 1-8, 2010

A brief survey of awareness of common health conditions, access to health services, and utilization of health services in limited-English-proficiency Hispanic/Latino adults. Journal of Allied Health 38(2): E43-E46, 2009

Equity of access to and utilization of reproductive health services in Thailand: national Reproductive Health Survey data, 2006 and 2009. Reproductive Health Matters 19(37): 86-97, 2011