Correlations of Siblings and Mothers Utilisation of Primary and Hospital Health Care : A Record Linakge Study in Western Australia  

Oleh:

Ward, Alison M. ; Klerk, Nick de ; Pritchard, Douglas ; Firth, Martin ; Holman, C D Arcy J

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 6 (Mar. 2006), page 1341-1348.
Topik: health care; health care utilization; siblings and mothers; record linkage; hospitals; geenral practice; intergenerational morbidity; australia

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.2 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

A relationship between maternal and child use of general practitioners (GPs) has been shown to exist for some time, however the reasons for this relationship are not clear ang the extent to which this relationship extendes to tertiary care is unknown. The aim of this study was to examine the relationships between the utilisation of health care by siblings and mothers over a 14 year period. A respective cohort study of 756 mothers and their 1494 children up to age 14 years was conducted in three general practices in western austaralia. Medicare claims and hospital morbidity records for 1984 - 1997 were linekd using deterministic and probablisitic matching. Generalised estimating equations and correlations were used to examine the relationships between the utilisation of primary and hospital health care by family members. Significant correlations were found between hospital admissions of all participants and their GP visits, specialist visits, pathology and diagnostic imaging combined and hodpital length of stay. There was a strong association between siblings' use of GPs. A child's rate of GP attendance increased with that of its mother. There was a weak but significant relationship between siblings' use of hospitals and a child's hospital admission rate increased with that of its mother. It is concluded that there is a strong relationship between siblings' use of GPs and a weakwer but still significant association between the hospital admissions of siblings. As expected, there were storng associations between mother and child visits to GPs. There was also an association between a mother's use of hospital and that of her children. This finding reduces the klausibility that the relationships found between utilisation of health care by siblings and mothers can be explained entirely by behavioural factors, and suggests the presence of intergenerational correlation of morbidity,

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