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首页> 外文期刊>The Journal of adolescent health: official publication of the Society for Adolescent Medicine >Utilization of health services in physician offices and outpatient clinics by adolescents and young women in the United States: implications for improving access to reproductive health services.
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Utilization of health services in physician offices and outpatient clinics by adolescents and young women in the United States: implications for improving access to reproductive health services.

机译：美国的青少年和年轻妇女在医师办公室和门诊使用卫生服务：对改善获得生殖健康服务的影响。

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PURPOSE: We examined utilization patterns of adolescents and young women as they seek general and reproductive health services in physician offices and hospital outpatient clinics. METHODS: We analyzed physician office visits in the 2003-2006 National Ambulatory Medical Care Surveys, and hospital outpatient clinic visits in the National Hospital Ambulatory Medical Care Surveys, to examine utilization patterns of females aged 9-26 years by 2-year age intervals and other characteristics such as physician specialty or clinic type. RESULTS: The number of visits to primary care physician offices increased with age, from 4.9 million for ages 9-10 years to 9.0 million for ages 25-26 years. The proportion of visits made to obstetrician-gynecologists and family practitioners increased with age, and by ages 15-16 years fewer than half of all visits to primary care providers were made to pediatricians. The proportion of visits to family practitioners increased from 25% at ages 9-10 years to 30% at ages 25-26 years. By ages 17-18 years, a larger proportion of visits were made to obstetrician-gynecologists (33% of 7.0 million visits) and to family practitioners (34%) than to pediatricians (23%). The proportion of visits for reproductive health services peaked at 53% of 7.5 million physician visits at ages 20-21 years. Similar utilization patterns were observed for the 11.0 million hospital outpatient visits to primary care providers. CONCLUSIONS: Because adolescents and young women most commonly utilize healthcare services provided by obstetrician-gynecologists and family practitioners, these specialties should be priority targets for interventions to improve the quality and availability of reproductive health services.
机译：目的：我们研究了青少年和年轻妇女在医师办公室和医院门诊寻求常规和生殖健康服务时的利用方式。方法：我们分析了2003-2006年国家门诊医疗服务调查中的医生办公室就诊情况以及国家医院门诊医疗调查中的医院门诊就诊情况，以调查按2岁年龄段划分的9-26岁女性的使用方式和其他特征，例如专科医生或诊所类型。结果：访问初级保健医师办公室的次数随着年龄的增长而增加，从9-10岁的490万增加到25-26岁的900万。妇产科医生和家庭医生的门诊比例随年龄增长而增加，到15-16岁时，基层医疗服务人员的门诊比例不到一半。家庭医生的探视比例从9-10岁的25％增加到25-26岁的30％。到17-18岁年龄段，与妇科医生（23％）相比，妇产科医生（700万次就诊的33％）和家庭医生（34％）的就诊比例更高。生殖健康服务的就诊比例在20-21岁年龄段的750万医师就诊中达到53％的峰值。在1100万门诊患者中，初级保健提供者的使用率也相似。结论：由于青少年最常使用妇产科医生和家庭医生提供的医疗保健服务，因此这些专科应作为干预措施的优先对象，以提高生殖健康服务的质量和可用性。

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