The effects of regular source of care and health need on medical care use among rural adolescents

Sheryl Ryan, Anne Riley, Myungsa Kang, Barbara Starfield

Research output: Contribution to journalArticle

61 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)184-190
Number of pages7
JournalArchives of Pediatrics and Adolescent Medicine
Volume155
Issue number2
DOIs
StatePublished - Jan 1 2001

Fingerprint

Preventive Medicine
Emergencies
Delivery of Health Care
Health Services
Rural Population
Ambulatory Care
Health Status
Logistic Models
Students
Health

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

Cite this

@article{f1ce40216f08463ab4abcc8d18a9b244,
title = "The effects of regular source of care and health need on medical care use among rural adolescents",
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.",
author = "Sheryl Ryan and Anne Riley and Myungsa Kang and Barbara Starfield",
year = "2001",
month = "1",
day = "1",
doi = "10.1001/archpedi.155.2.184",
language = "English (US)",
volume = "155",
pages = "184--190",
journal = "JAMA Pediatrics",
issn = "2168-6203",
publisher = "American Medical Association",
number = "2",

}

The effects of regular source of care and health need on medical care use among rural adolescents. / Ryan, Sheryl; Riley, Anne; Kang, Myungsa; Starfield, Barbara.

In: Archives of Pediatrics and Adolescent Medicine, Vol. 155, No. 2, 01.01.2001, p. 184-190.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The effects of regular source of care and health need on medical care use among rural adolescents

AU - Ryan, Sheryl

AU - Riley, Anne

AU - Kang, Myungsa

AU - Starfield, Barbara

PY - 2001/1/1

Y1 - 2001/1/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=0035146772&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035146772&partnerID=8YFLogxK

U2 - 10.1001/archpedi.155.2.184

DO - 10.1001/archpedi.155.2.184

M3 - Article

C2 - 11177095

AN - SCOPUS:0035146772

VL - 155

SP - 184

EP - 190

JO - JAMA Pediatrics

JF - JAMA Pediatrics

SN - 2168-6203

IS - 2

ER -