Advertising Disclaimer
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Freed, G. L.
Right arrow Articles by Schectman, R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Freed, G. L.
Right arrow Articles by Schectman, R.
Related Collections
Right arrow Office Practice
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

PEDIATRICS Vol. 103 No. 4 April 1999, pp. 864-869

Influences on the Receipt of Well-child Visits in the First Two Years of Life

Received Dec 31, 1998; accepted Jan 5, 1999.

Gary L. Freed*, Sarah J. Clark*, Donald E. PathmanDagger , and Robin SchectmanDagger

From the * Division of General Pediatrics, University of Michigan, Ann Arbor, Michigan; and Dagger  Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Objective.  To determine demographic and health care system factors associated with children receiving an adequate number of well-child visits (WCVs).

Methods.  Information on 4385 children and their families was obtained via birth certificates, parent interviews, chart review of outpatient sites of care, and insurance records.

Results.  Only 77% of children received at least five WCVs by age 2. In regression analysis, the factors most strongly associated with children's total number of WCVs were delay in the initiation of prenatal care (odds ratio = 0.6) and receipt of all outpatient care in private physician offices (odds ratio = 4.2 to 5.6). Having an adequate number of WCVs was associated with being up to date for immunizations.

Conclusions.  Children of mothers who delay prenatal care are at high risk for not receiving adequate numbers of WCVs. Recognition of this marker can allow for targeted interventions that aim to ensure that children receive appropriate preventive care.  Key words:  child health services, health services utilization, preventive care.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 PediatricsHome page
S. J. Hambidge, S. L. Phibbs, V. Chandramouli, D. Fairclough, and J. F. Steiner
A Stepped Intervention Increases Well-Child Care and Immunization Rates in a Disadvantaged Population
Pediatrics, August 1, 2009; 124(2): 455 - 464.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
T. R. Coker, P. J. Chung, B. O. Cowgill, L. Chen, and M. A. Rodriguez
Low-Income Parents' Views on the Redesign of Well-Child Care
Pediatrics, July 1, 2009; 124(1): 194 - 204.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
A. G. Fiks, K. F. Hunter, A. R. Localio, R. W. Grundmeier, and E. A. Alessandrini
Impact of Immunization at Sick Visits on Well-Child Care
Pediatrics, May 1, 2008; 121(5): 898 - 905.
[Abstract] [Full Text] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
A. H. Schempf, C. S. Minkovitz, D. M. Strobino, and B. Guyer
Parental Satisfaction With Early Pediatric Care and Immunization of Young Children: The Mediating Role of Age-Appropriate Well-Child Care Utilization
Arch Pediatr Adolesc Med, January 1, 2007; 161(1): 50 - 56.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
T. M. Selden
Compliance With Well-Child Visit Recommendations: Evidence From the Medical Expenditure Panel Survey, 2000-2002
Pediatrics, December 1, 2006; 118(6): e1766 - e1778.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
T. K. McInerny, W. L. Cull, and B. K. Yudkowsky
Physician Reimbursement Levels and Adherence to American Academy of Pediatrics Well-Visit and Immunization Recommendations
Pediatrics, April 1, 2005; 115(4): 833 - 838.
[Abstract] [Full Text] [PDF]

Home page
 Health Aff (Millwood)Home page
P. J. Chung and M. A. Schuster
Access And Quality In Child Health Services: Voltage Drops
Health Aff., September 1, 2004; 23(5): 77 - 87.
[Abstract] [Full Text] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
S. J. Hambidge, A. J. Davidson, S. L. Phibbs, V. Chandramouli, G. Zerbe, C. W. LeBaron, and J. F. Steiner
Strategies to Improve Immunization Rates and Well-Child Care in a Disadvantaged Population: A Cluster Randomized Controlled Trial
Arch Pediatr Adolesc Med, February 1, 2004; 158(2): 162 - 169.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
C. R. Woods, T. A. Arcury, J. M. Powers, J. S. Preisser, and W. M. Gesler
Determinants of Health Care Use by Children in Rural Western North Carolina: Results From the Mountain Accessibility Project Survey
Pediatrics, August 1, 2003; 112(2): e143 - 152.
[Abstract] [Full Text] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
R. B. Hakim and D. S. Ronsaville
Effect of Compliance With Health Supervision Guidelines Among US Infants on Emergency Department Visits
Arch Pediatr Adolesc Med, October 1, 2002; 156(10): 1015 - 1020.
[Abstract] [Full Text] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
S. Busey, T. R. Schum, and J. R. Meurer
Parental Perceptions of Well-Child Care Visits in an Inner-city Clinic
Arch Pediatr Adolesc Med, January 1, 2002; 156(1): 62 - 66.
[Abstract] [Full Text] [PDF]

Home page
 AJPHHome page
S. A. Wilcox, C. P. Koepke, R. Levenson, and J. C. Thalheimer
Registry-Driven, Community-Based Immunization Outreach: A Randomized Controlled Trial
Am J Public Health, September 1, 2001; 91(9): 1507 - 1511.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
R. B. Hakim and B. V. Bye
Effectiveness of Compliance With Pediatric Preventive Care Guidelines Among Medicaid Beneficiaries
Pediatrics, July 1, 2001; 108(1): 90 - 97.
[Abstract] [Full Text] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
C. W. LeBaron, L. Rodewald, and S. Humiston
How Much Time Is Spent on Well-Child Care and Vaccinations?
Arch Pediatr Adolesc Med, November 1, 1999; 153(11): 1154 - 1159.
[Abstract] [Full Text] [PDF]