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Titolo:
Adolescent HMO enrollees' utilization of out-of-plan services
Autore:
Civic, D; Scholes, D; Grothaus, L; McBride, C;
Indirizzi:
Grp Hlth Cooperat Puget Sound, Ctr Hlth Studies, Seattle, WA 98112 USA GrpHlth Cooperat Puget Sound Seattle WA USA 98112 Seattle, WA 98112 USA Univ Washington, Sch Publ Hlth & Community Med, Dept Epidemiol, Seattle, WA USA Univ Washington Seattle WA USA nity Med, Dept Epidemiol, Seattle, WA USA Duke Univ, Duke Comprehens Canc Ctr, Durham, NC USA Duke Univ Durham NC USA e Univ, Duke Comprehens Canc Ctr, Durham, NC USA
Titolo Testata:
JOURNAL OF ADOLESCENT HEALTH
fascicolo: 6, volume: 28, anno: 2001,
pagine: 491 - 496
SICI:
1054-139X(200106)28:6<491:AHEUOO>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
HEALTH-CARE; PREVENTION; ACCESS;
Keywords:
adolescents; confidentiality; gender differences; health care; health services; health maintenance organizations; risk-taking; sexuality;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
10
Recensione:
Indirizzi per estratti:
Indirizzo: Civic, D Grp Hlth Cooperat Puget Sound, Ctr Hlth Studies, 201 16th Ave E,CEB-142, Seattle, WA 98112 USA Grp Hlth Cooperat Puget Sound 201 16th Ave E,CEB-142 Seattle WA USA 98112
Citazione:
D. Civic et al., "Adolescent HMO enrollees' utilization of out-of-plan services", J ADOLES H, 28(6), 2001, pp. 491-496

Abstract

Purpose: To examine use of reproductive health services, correlates of out-of-plan care, and reasons for seeking out-of-plan care among adolescent health maintenance organization (HMO) enrollees. Methods: We mailed a self-administered questionnaire to a population-basedrandom sample of 18-year-old members of Group Health Cooperative of Puget Sound (GHC) who had been enrolled for at least 12 months. The sample was selected from GHC's computerized enrollment database. Questionnaire topics included reproductive history, sexual behavior, and use of health services. Analysis included Chi-square tests to examine differences by gender and out-of-plan status and multivariate analysis using logistic regression. Results: About one-half of the 997 respondents (69% response rate) reported using out-of-plan care. In multivariate analysis, the strongest correlateof out-of-plan care was having had sexual intercourse [odds ratio (OR) = 1.84; 95% confidence interval (CI) = 1.35-2.52]. Other correlates were usingalcohol (OR = 1.79; 95% CI := 1.29-2.48), living with parents (OR = 0.65; 95% CI = .46-.92), and being female (OR = 1.60; 95% CI = 1.21-2.11). Duringthe prior year, over 80% of sexually active respondents had obtained contraceptives out-of-plan and 45% of those tested for sexually transmitted diseases (STDs) reported out-of-plan testing. The primary reasons reported for using any out-of-plan care were lack of convenience (28%), being out of town (26%), and confidentiality (23%; only reported by sexually active respondents). Conclusions: A substantial proportion of GHC-enrolled adolescents used out-of-plan care. Those who did were more likely to have had STDs and other health problems than those who used only in-plan services. Without continuityof can?, these at-risk adolescents may not be receiving optimal services. (C) Society for Adolescent Medicine, 2001.

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Documento generato il 28/01/20 alle ore 21:34:29