International Journal of Public Health

, Volume 58, Issue 2, pp 207–215

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

  • Jorge-A Palacio-Vieira
  • Ester Villalonga-Olives
  • Jose María Valderas
  • Michael Herdman
  • Jordi Alonso
  • Luis Rajmil
Original Article

DOI: 10.1007/s00038-012-0360-2

Cite this article as:
Palacio-Vieira, JA., Villalonga-Olives, E., Valderas, J.M. et al. Int J Public Health (2013) 58: 207. doi:10.1007/s00038-012-0360-2

Abstract

Objective

To assess medium to long term predictors of healthcare services use in a population-based sample of children/adolescents in Spain.

Methods

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.

Results

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).

Conclusion

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.

Keywords

Adolescent Equity Follow-up studies Health services use 

Copyright information

© Swiss School of Public Health 2012

Authors and Affiliations

  • Jorge-A Palacio-Vieira
    • 1
  • Ester Villalonga-Olives
    • 2
  • Jose María Valderas
    • 3
  • Michael Herdman
    • 4
  • Jordi Alonso
    • 2
    • 7
  • Luis Rajmil
    • 5
    • 6
    • 7
  1. 1.Catalan Agency for Pulic HealthBarcelonaSpain
  2. 2.IMIM, Institut d’Investigació Hospital del MarBarcelonaSpain
  3. 3.Department of Primary Health CareUniversity of OxfordOxfordUK
  4. 4.Insight Consulting and ResearchMataroSpain
  5. 5.Catalan Agency for Health Information, Assessment and Quality (AIAQS)BarcelonaSpain
  6. 6.IMIM, Institut d’Investigació (IMIM- Parc de Salut Mar)BarcelonaSpain
  7. 7.CIBER en Epidemiología y Salud Pública (CIBERESP)Instituto de Salud Carlos IIIMadridSpain

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