Changes in Ambulatory Health Care Use During the Transition to Young Adulthood
Changes in Ambulatory Health Care Use During the Transition to Young Adulthood
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DOI：
10.1016/j.jadohealth.2009.09.010
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发表时间：
2010-05-01
影响因子：
7.6
通讯作者：
Cooper, William O.
中科院分区：
文献类型：
--
作者：
Callahan, S. Todd;Cooper, William O.
目的：为了确定从青春期到青年adult.Methods的过渡期间，在门诊医疗保健使用的变化：我们分析了从1997年到2004年的全国门诊医疗保健调查或全国医院门诊医疗保健调查中的青少年（13-18奥尔兹）和年轻人（19-24奥尔兹）的医疗保健接触的数据。我们提出了访问特征的双变量分析（包括临床医生专业和卫生保健设置，访问的主要原因，和预期的付款来源）为年轻的成年人与青少年相比，使用由国家卫生统计中心提供的权重，使national estimates.Results：青少年和年轻的成年人每年使用类似的数量的卫生保健访问;然而，与青少年相比，在急诊室为年轻人提供的流动护理比例更高（20% vs. 14%; p < .001），男性分娩比例较小（27%对46%; p < .001），私人医疗保险覆盖的比例较小（分别为58%对67%; p < .001）。在年轻的成年人中，预防保健被列为40%的女性非急诊科就诊的原因，而它只占10%的访问男性。结论：在门诊医疗保健的使用发生显着变化，在年轻的成年人。在向成年人过渡期间改善保健需要注意与青年人有关的保健研究和提供议程。(C)2010年青少年医学会。All rights reserved.
Purpose: To identify changes in ambulatory health care use during the transition from adolescence to young adulthood.Methods: We analyzed data from health care encounters for adolescents (13-18 year olds) and young adults (19-24 year olds) in the National Ambulatory Medical Care Surveys or National Hospital Ambulatory Medical Care Surveys from 1997 through 2004. We present bivariate analysis of visit characteristics (including clinician specialty and health care setting, primary reason for the visit, and expected source of payment) for young adults as compared with those for adolescents, using weights provided by the National Center for Health Statistics to make national estimates.Results: Adolescents and young adults used similar number of health care visits annually; however, a greater proportion of ambulatory care for young adults was delivered in emergency departments as compared with adolescents (20% vs. 14%; p < .001), a smaller proportion was delivered to males (27% vs. 46%; p < .001), and a smaller proportion was covered by private health insurance (58% vs. 67%, respectively; p < .001). Among young adults, preventive care was listed as the reason for 40% of non-emergency department visits for females, whereas it accounted for only 10% of visits for males.Conclusions: Significant changes in ambulatory health care use occur during young adulthood. Improving health care during the transition to adulthood will necessitate attention to health care research and delivery agendas that are relevant to the young adult population. (C) 2010 Society for Adolescent Medicine. All rights reserved.