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意大利南部儿童和青少年使用医疗保健服务进行非传染性疾病防治情况的评估。

Evaluation of the use of health care services for non-communicable disease and prevention by children and adolescents in south Italy.

作者信息

Ascione Flora, Cascone Diana, Napolitano Francesco, Di Giuseppe Gabriella

机构信息

Department of Experimental Medicine, University of Campania Luigi Vanvitelli, Via Luciano Armanni, 5, 80138, Naples, Italy.

出版信息

BMC Health Serv Res. 2017 Aug 4;17(1):532. doi: 10.1186/s12913-017-2489-4.

Abstract

BACKGROUND

The objectives of this investigation are to evaluate the use of health care services for non-communicable disease and prevention by children and adolescents and to identify the factors linked to the use of health care services.

METHODS

This cross-sectional survey was conducted between December 2014 and January 2015 among 1198 parents of students aged between 5 and 18 years attending 12 selected schools in the geographic area of Salerno and Naples, Italy, using a self-administered questionnarie.

RESULTS

68.2% of parents stated that had visited their general practitioner (GP) or family pediatrician (FP) with their child in the last year. 66.2% of children had had at least one visit to a specialist and more than half (54.8%) had had preventive care visits in the last year. The use of preventive care visits within last year was significantly higher amongst female, among those who had visited their GP or FP and among those who had a parent with a college degree or higher. The proportion of emergency department visits and hospital admissions reported were 12.8% and 4.7% respectively.

CONCLUSION

This results highlights the need of educational interventions for parents and adolescents in order to increase the utilization of preventive health services.

摘要

背景

本调查的目的是评估儿童和青少年对非传染性疾病医疗保健服务的使用情况及其预防措施,并确定与医疗保健服务使用相关的因素。

方法

2014年12月至2015年1月期间,在意大利萨勒诺和那不勒斯地理区域内选定的12所学校中,对1198名5至18岁学生的家长进行了横断面调查,使用的是自行填写的问卷。

结果

68.2%的家长表示,去年曾带孩子去看过全科医生(GP)或家庭儿科医生(FP)。66.2%的儿童去年至少看过一次专科医生,超过一半(54.8%)的儿童去年接受过预防性保健就诊。去年,女性、看过全科医生或家庭儿科医生的儿童以及父母拥有大学及以上学历的儿童中,预防性保健就诊的使用率显著更高。报告的急诊就诊率和住院率分别为12.8%和4.7%。

结论

这一结果凸显了对家长和青少年进行教育干预的必要性,以提高预防性健康服务的利用率。

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