The Effects of Regular Source of Care and Health Need on Medical Care Use Among Rural Adolescents

Authors, Primary Ryan,S.;Riley,A.;Kang,M.;Starfield,B.
Title Primary The Effects of Regular Source of Care and Health Need on Medical Care Use Among Rural Adolescents
Periodical Full Archives of Pediatrics & Adolescent Medicine
Pub Year 2001
Volume 155
issue Not Available
Start Page 184-190
Abstract OBJECTIVE: To examine those factors associated with the use of different types of ambulatory health services in a rural adolescent population. METHODS: The student bodies of 2 middle schools and 2 high schools in rural areas in a mid Atlantic state (N = 1615) were surveyed using a self-administered health status and health services use instrument. Logistic regression was used to assess factors predicting receipt of (1) preventive services, (2) problem-focused services, and (3) emergency services. RESULTS: One third of the rural youth reported having received preventive services within the previous 3 months; 41% received problem-focused care, and 18% received emergency services. Having the same provider for both preventive and illness care was the most consistent and significant predictor of receipt for all types of ambulatory services. Of special note is the greater use of emergency services when subjects did not have a consistent provider for both preventive and illness care. Health need variables, measured across a wide range of domains, were additionally predictive, and their significance varied according to the type of services received. CONCLUSIONS: This study provides compelling evidence that for rural adolescents, having a regular source of care and medical need are the most important predictors of use across a variety of types of ambulatory care.
Publisher American Medical Association
Place of Publication Chicago, IL
Author/Address Not Available
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Access to Care;Outcomes
Special Population(s) Children with Special Needs;Children without Special Needs;People with Mental and Behavioral Health Issues
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
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Summary of Article Rating No