Predictors of the use of healthcare services in children and adolescents in Spain

Palacio-Vieira, Jorge; Villalonga-Olives, Ester; Valderas, José M; Herdman, Michael; Alonso, Jordi; Rajmil, Luís

doi:10.1007/s00038-012-0360-2

Cited by 8 publications

(10 citation statements)

References 26 publications

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“…Our results on additional covariates are largely in concordance with findings from other prospective studies—showing that other health problems, measured as physical disease13 and mental health problems,14 predict increased healthcare use.…”

Section: Discussionsupporting

confidence: 90%

“…The psychometric properties of the Danish version have been evaluated29 and our data were interpreted using Danish norms 30. In accordance with previous practice,14 we dichotomised the score into ‘no’ and ‘yes’, where ‘yes’ consisted of children with ‘borderline’ and ‘abnormal’ total scores.…”

Section: Methodsmentioning

confidence: 99%

“…Other health factors associated are multisymptomatic presentation of FSS,5 past healthcare use,5 health during the past year5 13 and well-defined physical illness and mental problems 9 11. General factors are the child’s gender,14 age,8 15 absence from school,9 11 parental health and psychopathology, parents' own healthcare use and socioeconomic status8–10 13–19 as well as ethnicity 10…”

Section: Introductionmentioning

confidence: 99%

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Impact of functional somatic symptoms on 5–7-year-olds' healthcare use and costs

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Section: Discussionsupporting

confidence: 90%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of functional somatic symptoms on 5–7-year-olds' healthcare use and costs

et al. 2017

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“…Although in the German research, it was found that families of higher SES used the primary care paediatrician services and those from the lower SES group used GP services (Rattay et al, 2014), while Wölfle et al (2014) described a higher use of somatic health care, but a lower use of mental health care in families of low SES compared to families with a higher SES, after adjusting the analysis for a mental health measure (SDQ). Two Spanish studies (Berra et al, 2006;Palacio-Vieira et al, 2013) reported generally equitable healthcare utilisation by children aged 5À14 years and 8À18 years, after adjusting for indicators of healthcare needs. In southern Sweden, Mangrio, Hansen, Lindstrom, Kohler, and Rosvall (2011) described a higher use of general practice in preschool children from families with low SES, compared to those with high SES and Ivert et al (2013) found a similar pattern in adolescent use of mental health care.…”

Section: Socio-economic Statusmentioning

confidence: 99%

“…The studies we found covered all ages of children. However, only four studies adjusted the analysis of healthcare utilisation to an indicator of healthcare need; these included the perceived health status in the use of primary care physicians in Spain (Berra et al, 2006), physical and mental health in Catalonia (Palacio-Vieira et al, 2013), morbidity load in Aragon, Spain (Calderon-Larrañaga et al, 2011), and a measure of mental health (SDQ) in use of somatic and mental health services in Germany (Wölfle et al, 2014).…”

Section: Healthcare Utilisation and Equity For Child Healthmentioning

confidence: 99%

Equity

Blair¹,

Alexander²

2019

Issues and Opportunities in Primary Health Care for Children in Europe

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Equity is an issue that pervades all aspects of primary care provision for children and as such is a recurring theme in the Models of Child Health Appraised project. All European Union member states agree to address inequalities in health outcomes and include policies to address the gradient of health across society and target particularly vulnerable population groups. The project sought to understand the contribution of primary care services to reducing inequity in health outcomes for children. We focused on some key features of inequity as they affect children, such as the importance of good health services in early childhood, and the effects of inequity on children, such as the higher health needs of underprivileged groups, but their generally lower access to health services. This indicates that health services have an important role in buffering the effects of social determinants of health by providing effective treatment that can improve the health and quality of life for children with chronic disorders. We identified common risk factors for inequity, such as gender, family situation, socioeconomic status (SES), migrant or minority status and regional differences in healthcare provision, and attempted to measure inequity of service provision. We did this by analysing routine data of universal primary care procedures, such as vaccination, age at diagnosis of autism or emergency hospital admission for conditions that can be generally treated in primary care, against variables of inequity, such as indicators of SES, migrant/ethnicity or urban/rural residency. In addition, we focused on the experiences of child population groups particularly at risk of inequity of primary care provision: migrant children and children in the state care system.

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The challenge of compiling data profiles to stimulate local preventive health action: a European case study from child safety

Alexander

Rigby

Gissler

et al. 2015

Int J Public Health

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ObjectivesPositive recent experience of presenting comparative child safety data at national level has instigated policy action in Europe. It was hoped a Child Safety Index could quantify how safe a community, region or locality is for its children in comparison with similar areas within Europe, as a focus for local targeted action.MethodsValidated indicators proposed by previous European projects identified from areas of child injury prevention, such as road safety, burns or poisoning, were selected to give a balanced profile, and populated from available published data. An index using a sub-score for each specific injury topic was proposed. The indicators’ presentation, sensitivity and appropriateness were considered, as well as data availability.ResultsSatisfactory indicators were not identified for all areas and very few local area data were available. This forced the researchers to conclude that at present, constructing a reliable Child Safety Index for use at the local level is not feasible.ConclusionsThere is a worrying lack of data available at the sub-national level to support injury prevention, evaluate interventions, and enable informed local decision making.

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Predictors of the use of healthcare services in children and adolescents in Spain

Abstract: 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.

Cited by 8 publications

References 26 publications

Impact of functional somatic symptoms on 5–7-year-olds' healthcare use and costs

Impact of functional somatic symptoms on 5–7-year-olds' healthcare use and costs

Equity

The challenge of compiling data profiles to stimulate local preventive health action: a European case study from child safety

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