Preventive Care and Overall Use of Services: Are They Related?

Paul Benson, Abram Gabriel, Harvey Katz, Donald Steinwachs, Janet Hankin, Barbara Starfield

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


The relationship between the use of services of children constantly enrolled in a prepaid group practice medical plan for six years and the completeness of their preventive care were examined. Children who were consistently low users of services were more likely to be lacking one or more components of standard preventive care, particularly general health assessments in older children and vision, hearing, and tuberculosis screening in younger children. Teenage children who were low users were at some risk of not receiving their tetanus-diphtheria immunization on time. The relationship between low use of services and incomplete preventive care persisted after controlling for the severity of morbidity, although children with more severe morbidity were somewhat less likely to be missing preventive care. Health facilities and practitioners should pay special attention to assessing the need for standard preventive care in children who are infrequent users of services.

Original languageEnglish (US)
Pages (from-to)74-78
Number of pages5
JournalAmerican Journal of Diseases of Children
Issue number1
StatePublished - Jan 1984
Externally publishedYes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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