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Are They Related?

Paul Benson; Abram Gabriel, MD, MPH; Harvey Katz, MD; Donald Steinwachs, PhD; Janet Hankin, PhD; Barbara Starfield, MD, MPH

Am J Dis Child. 1984;138(1):74-78.

Abstract
• The relationship between the use of services of children constantly enrolled in a prepaid group practice medical plan for six years and the completeness of their preventive care were examined. Children who were consistently low users of services were more likely to be lacking one or more components of standard preventive care, particularly general health assessments in older children and vision, hearing, and tuberculosis screening in younger children. Teenage children who were low users were at some risk of not receiving their tetanus-diphtheria immunization on time. The relationship between low use of services and incomplete preventive care persisted after controlling for the severity of morbidity, although children with more severe morbidity were somewhat less likely to be missing preventive care. Health facilities and practitioners should pay special attention to assessing the need for standard preventive care in children who are infrequent users of services.

(AJDC 1984;138:74-78)

Author Affiliations
From the Division of Health Care Policy, The Johns Hopkins University Center for Health Services Research and Development and the School of Hygiene and Public Health, Baltimore (Mr Benson and Drs Gabriel, Steinwachs, Hankin, and Starfield), and the Columbia (Md) Medical Plan (Dr Katz).

Footnotes
Reprint requests to Division of Health Care Policy, The Johns Hopkins University, 615 N Wolfe St, Baltimore, MD 21205 (Dr Starfield).

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