Catalan Agency for Pulic Health, Roc Boronat, 81-95 (3a planta), 08005, Barcelona, Spain.
Int J Public Health. 2013 Apr;58(2):207-15. doi: 10.1007/s00038-012-0360-2. Epub 2012 May 3.
To assess medium to long term predictors of healthcare services use in a population-based sample of children/adolescents in Spain.
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.
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).
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.
评估西班牙基于人群的儿童/青少年样本中医疗保健服务使用的中远期预测因素。
对 8-18 岁的儿童和青少年及其父母进行基线（2003 年）和随访（2006 年）评估。分析随访时的总医疗保健服务使用情况以及专科医生和牙医的就诊次数。
454 名儿童/青少年完成了基线和随访评估（应答率为 54%）。90%的受访者报告在随访前 12 个月内至少有一次就诊。低社会经济地位（β系数=0.30；95%置信区间=0.02-0.57）、双重医疗保健覆盖（0.41；0.17-0.66）、父母使用服务、心理健康状况差和活动受限与总就诊次数相关。获得专科医生的机会与双重医疗保健覆盖（OR=1.77；1.01-3.07）和父母的初级教育水平（OR=0.51；0.32-0.81）相关。年龄和家庭贫困程度预测了看牙医的次数（OR=0.38；0.19-0.73）。
未发现使用医疗保健服务的障碍。家庭教育水平、家庭富裕程度和双重医疗保健覆盖预测了专科医生和牙医的使用。
