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http://www.blackwell-synergy.com/links/doi/10.1046/j.1440-1754.2003.00146.x/abs/

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Journal of Paediatrics and Child Health
Volume 39 Issue 4 Page 249  - May 2003
doi:10.1046/j.1440-1754.2003.00146.x

 
 
Parents, infants and health care: Utilization of health services in the first 12 months of life
SR Goldfeld1 M Wright2 and F Oberklaid1
Objective:  To describe patterns of health-service use in the first 12 months of life.

Methods:  In this prospective cohort study, 173 first-born infants and their families living in two middle socio-economic urban areas of Melbourne were enrolled consecutively when presenting for their initial maternal and child health nurse (MCHN) visit (at approximately 4 weeks of age). Families kept a daily 'health diary' for the entire 12-month period, recording use of all health services for their infant, and reasons for the contact.

Results:  There was an 87% completion rate of diaries. The mean number of visits to any health service, including medical, hospitals, MCHN services, pharmacists, allied health services and naturopaths, was 35.7 (95% CI 34.7-36.6) during the 12 months. Of these, 31% (mean 10.9 visits) were visits to a general practitioner (GP) and 41.5% (mean 14.3 visits) were visits to the MCHN. Infants' visits to the MCHN were far more frequent in the first 6 months of life compared with the second 6 months (10.3 vs 3.6, P < 0.001). Rates of GP use were constant over the same periods (5.3 vs 5.7, P = 0.8).

Conclusions:  In a universal health-care system, this high rate of health-service use equates to approximately one visit to a health service every 2 weeks in the first year of life. The majority of these visits appeared unrelated to illness. This previously undocumented data has implications for future integrated service delivery, health-professional training and policy development for this age group.

 
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1Centre for Community Child Health, Royal Children's Hospital and 2University of Melbourne, Melbourne, Victoria, Australia

 
Correspondence: Dr SR Goldfeld, Centre for Community Child Health, Royal Children's Hospital, Melbourne, Vic., Australia. Fax: +61 3 9345 5900; email: sharon.goldfeld@rch.org.au
To cite this article
Goldfeld, SR, Wright, M & Oberklaid, F (2003)
Parents, infants and health care: Utilization of health services in the first 12 months of life.
Journal of Paediatrics and Child Health 39 (4), 249-253.
doi: 10.1046/
j.1440-1754.2003.00146.x

 

 

 

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