title: [Experiences with primary care associated to health, socio-demographics and use of services in children and adolescents].
abstract: This study aimed to evaluate user experiences with primary care for children and adolescents according to health, socio-demographic characteristics, and use of healthcare services. The 2006 Catalan Health Interview Survey studied a representative sample of the population aged 0 to 14 (n = 2,200). Parents reported their experiences with primary care through 17 items from the Primary Care Assessment Tool. Multivariate models were fitted to estimate prevalence ratios (PR) of scoring low on experiences with primary care by health, use of services, and socio-demographic variables. A low first contact-accessibility score was associated with declared chronic conditions. Immigrant parents declared a poor experience with several primary care functions. A low score on first contact-accessibility, continuity of care, and cultural competence was less likely when children had double healthcare coverage and more likely when they had visited emergency services. Improvement of some aspects of primary care services may reduce both use of emergency services and inequity in this area.
authors.affiliation: Instituto de Investigaciones en Ciencias de la Salud, Consejo Nacional de Investigaciones Científicas y Técnicas, Córdoba, Argentina.
authors.forename: Silvina
authors.initials: S
authors.lastname: Berra
authors.affiliation: Agència de Salut Pública de Barcelona, Spain.
authors.forename: Maica
authors.initials: M
authors.lastname: Rodríguez-Sanz
authors.affiliation: CIBER Epidemiología y Salud Pública, Madrid, Spain.
authors.forename: Luis
authors.initials: L
authors.lastname: Rajmil
authors.affiliation: Agència de Salut Pública de Barcelona, Spain.
authors.forename: M Isabel
authors.initials: MI
authors.lastname: Pasarín
authors.affiliation: Agència de Salut Pública de Barcelona, Spain.
authors.forename: Carme
authors.initials: C
authors.lastname: Borrell
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000706:statistics & numerical data*; D000328:Adult; D002648:Child; D002662:Child Health Services / Q000706:statistics & numerical data*; D002675:Child, Preschool; D054242:Emigrants and Immigrants; D005191:Family Characteristics; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D008297:Male; D012959:Socioeconomic Factors; D013030:Spain; D011795:Surveys and Questionnaires