|Publication type:||Conference other|
|Type of review:||Peer review (abstract)|
|Title:||Adequate use of pediatric primary health care during the first three years of life in Switzerland : an analysis using claims data|
|Conference details:||13th European Conference of Health Economics (EuHEA), Oslo, Norway, 5-8 July 2022|
|Subjects:||Gesundheit; Pädiatrie; Kind; Versorgung|
|Subject (DDC):||618.92: Pediatrics|
|Abstract:||Introduction: Adequate pediatric primary care, in particular health screenings, is important for the early detection and treatment of diseases or developmental disorders in early childhood. Therefore, pediatric associations recommend regular screenings for children. In Switzerland, there is little systematic knowledge about the uptake of pediatric primary care in early childhood. The aim of this study is to investigate the uptake of pediatric primary health care consultations in the first three years of life and to identify possible differences between socioeconomic subgroups. Methods: We used health care claims data from a large Swiss health insurer from 2012 to 2018. We identified medical consultations in the age of 0 to 7 months, 0 to 13 months, and 14 to 30 months and included pediatricians, general practitioners (GPs), and hospital in- and outpatient care. We analyzed associations with primary care supply accessibility, area of residence, nationality, as well as individual health insurance premium reduction and having a supplementary coverage, which serve as proxy measures for socioeconomic status. Prevalence estimates are based on logit regressions. Results: In the first seven months of life, 3.4% of children had never visited a primary care physician (pediatrician or GP), and 17% had had less than the four consultations recommended for screening purposes. In the first year (0 to 13 months) the non-uptake of any primary care consultations decreased to 2.1%. Taking hospital care into consideration, the share of children that did not have any contact with a care provider decreased to 1.1%. Foreign nationality, living in rural areas, low accessibility of primary care services, and not having a supplementary coverage are associated with lower uptake of pediatric consultations. Discussion: Most children seem to have an adequate number of health care consultations in early childhood. However, in rural areas, a substantial share of pediatric care is provided by GPs and not by specialized pediatricians. Also, there seem to be barriers to pediatric care for a few children who do not have any or not at least the number of consultations corresponding to the national screening recommendations.|
|Fulltext version:||Published version|
|License (according to publishing contract):||Licence according to publishing contract|
|Departement:||School of Management and Law|
|Organisational Unit:||Winterthur Institute of Health Economics (WIG)|
|Appears in collections:||Publikationen School of Management and Law|
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