Adolescents' access to care: teenagers' self-reported use of services and perceived access to confidential care.
Adolescents' access to care: teenagers' self-reported use of services and perceived access to confidential care.
复制标题
青少年获得护理的机会：青少年自我报告的服务使用情况以及认为获得保密护理的情况。
DOI：
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复制
发表时间：
1998
影响因子：
--
通讯作者：
C. N. Flatau
中科院分区：
文献类型：
--
作者：
J. Klein;M. McNulty;C. N. Flatau
背景
大多数关于青少年使用保健服务的调查依赖于父母的报告，这可能低估了青少年使用保密服务的情况。
目的
调查青少年报告自己使用卫生服务、获得保健、了解和使用保密服务的情况。
方法
在纽约的门罗县，对14至19岁的青少年进行了随机数字拨号调查。我们筛选了11 800个号码，并确定了4449个家庭（40%），其中393个家庭（8.8%）有合格的青少年。其中，259人（66%）同意并完成了访谈管理的调查。
结果
几乎所有青少年（92%）都认为自己的健康状况非常好或良好，90%的青少年在一年内访问了医疗保健提供者。大多数人（88%）确定了初级保健的来源。多达27%的青少年使用过一种以上的护理来源。许多青年认为学校工作人员是满足健康和咨询需求的重要资源。只有8.4%的受访者曾秘密使用过服务，但近一半的年轻人不知道如果需要，他们可以在哪里获得秘密护理。青少年最不可能知道到哪里去获得心理健康或药物滥用和生殖服务。
结论
虽然大多数年轻人都使用了初级保健，但也有相当多的少数人没有。许多青少年依赖多种来源的护理，他们依赖学校工作人员作为健康信息的重要来源。许多人不知道他们可以去哪里审查保密服务或他们可能需要的其他服务。管理式医疗保险和公共卫生政策应认识到青少年的获取需求，以适当地满足他们。
BACKGROUND
Most surveys on adolescents' use of health services rely on parental report, and this may underestimate adolescents' use of confidential services.
OBJECTIVE
To investigate adolescents' report of their own use of health services, access to care, and knowledge and use of confidential services.
METHOD
A random digit-dialed survey of 14- to 19-year-old adolescents was conducted in Monroe County, New York. We screened 11 800 numbers and identified 4449 households (40%) of which 393 families (8.8%) had eligible adolescents. Of these, 259 (66%) consented and completed an interviewer-administered survey.
RESULTS
Almost all adolescents (92%) rated their health as excellent or good and 90% had visited a health care provider within the year. Most (88%) identified a source of primary care. As many as 27% of adolescents had used more than one source of care. Many youth identify school personnel as important resources for health and counseling needs. Only 8.4% of respondents have used services confidentially, but nearly half of all youth did not know where they could obtain confidential care if they needed to. Adolescents were least likely to know where to obtain mental health or substance abuse and reproductive services.
CONCLUSIONS
While most youth have used primary care, a substantial minority have not. Many teenagers depend on multiple sources of care, and they rely on school personnel as important sources of health information. Many do not know where they could go to review confidential services or for other services that they may need. Managed care insurance and public health policies should recognize adolescents' access needs to meet them appropriately.
研究少数族裔社区的电话调查的可行性：旧金山的西班牙裔。
影响因子：
12.7
作者：
Marin,G;VanossMarin,B;Perez-Stable,EJ;Vanoss,B
通讯作者：
Vanoss,B
家庭药物使用调查的电话采访与面对面采访。
DOI：
10.3109/10826089109063463
发表时间：
1992
期刊：
The International journal of the addictions
影响因子：
--
作者：
Aquilino,WS
通讯作者：
Aquilino,WS