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Comparison of health care experience and access between young and older adults in 11 high-income countries

Hargreaves, Dougal S.; Greaves, Felix; Levay, Charlotta LU ; Mitchell, Imogen; Ursula, Koch; Esch, Tobias; Denny, Simon; Frich, Jan C.; Struijs, Jeroen and Sheikh, Aziz (2015) In Journal of Adolescent Health 57(4). p.413-420
Abstract
Purpose

Young adults (18–24 years) frequently report poorer health care access and experience than older adults. We aimed to investigate how differences between young and older adults vary across 11 high-income countries.



Methods

A total of 20,045 participants from 11 high-income countries (i.e., Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, United Kingdom, United States) participating in the Commonwealth Fund 2013 International Health Policy Survey. We compared young adults (18–24 years) with older adults (25–34; 35–49; 50–64; 65+ years) on three aspects of health care: overall satisfaction, cost barriers to access, and four indicators of consultation... (More)
Purpose

Young adults (18–24 years) frequently report poorer health care access and experience than older adults. We aimed to investigate how differences between young and older adults vary across 11 high-income countries.



Methods

A total of 20,045 participants from 11 high-income countries (i.e., Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, United Kingdom, United States) participating in the Commonwealth Fund 2013 International Health Policy Survey. We compared young adults (18–24 years) with older adults (25–34; 35–49; 50–64; 65+ years) on three aspects of health care: overall satisfaction, cost barriers to access, and four indicators of consultation quality relating to adequate information, time, involvement, and explanation.



Results

Across all participants, young adults reported significantly worse overall satisfaction (63.6% vs. 70.3%; p < .001) and more frequent cost barriers (21.3% vs. 15.2%; p < .001) than older adults. Country-level analyses showed that young adults reported lower overall satisfaction than older adults in five of 11 countries (Australia, Canada, Norway, Switzerland, United States) and more frequent cost barriers in six of 11 countries (Canada, France, Germany, Switzerland, Norway, United States). In five countries (Australia, Canada, France, Norway, Switzerland), most patient experience indicators were less positive among young adults than those among older adults. In three countries (Netherlands, New Zealand, United Kingdom), there was no significant difference between young and older adults on any indicator.



Conclusions

Associations between age and health care access/experience varied markedly between countries, suggesting that poor access and experience among young adults is not inevitable and may be amenable to policy/practice interventions. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Health care quality, Access and evaluation, Health care systems, Young adults, Patient experience
in
Journal of Adolescent Health
volume
57
issue
4
pages
413 - 420
publisher
Elsevier
external identifiers
  • pmid:26205758
  • wos:000361759300011
  • scopus:84942192075
ISSN
1054-139X
DOI
10.1016/j.jadohealth.2015.05.015
language
English
LU publication?
yes
id
164ab861-3ca8-4a52-92a2-67748cb4536d (old id 7615983)
date added to LUP
2015-08-03 12:41:00
date last changed
2017-09-24 03:11:34
@article{164ab861-3ca8-4a52-92a2-67748cb4536d,
  abstract     = {Purpose<br/><br>
Young adults (18–24 years) frequently report poorer health care access and experience than older adults. We aimed to investigate how differences between young and older adults vary across 11 high-income countries.<br/><br>
<br/><br>
Methods<br/><br>
A total of 20,045 participants from 11 high-income countries (i.e., Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, United Kingdom, United States) participating in the Commonwealth Fund 2013 International Health Policy Survey. We compared young adults (18–24 years) with older adults (25–34; 35–49; 50–64; 65+ years) on three aspects of health care: overall satisfaction, cost barriers to access, and four indicators of consultation quality relating to adequate information, time, involvement, and explanation.<br/><br>
<br/><br>
Results<br/><br>
Across all participants, young adults reported significantly worse overall satisfaction (63.6% vs. 70.3%; p &lt; .001) and more frequent cost barriers (21.3% vs. 15.2%; p &lt; .001) than older adults. Country-level analyses showed that young adults reported lower overall satisfaction than older adults in five of 11 countries (Australia, Canada, Norway, Switzerland, United States) and more frequent cost barriers in six of 11 countries (Canada, France, Germany, Switzerland, Norway, United States). In five countries (Australia, Canada, France, Norway, Switzerland), most patient experience indicators were less positive among young adults than those among older adults. In three countries (Netherlands, New Zealand, United Kingdom), there was no significant difference between young and older adults on any indicator.<br/><br>
<br/><br>
Conclusions<br/><br>
Associations between age and health care access/experience varied markedly between countries, suggesting that poor access and experience among young adults is not inevitable and may be amenable to policy/practice interventions.},
  author       = {Hargreaves, Dougal S. and Greaves, Felix and Levay, Charlotta and Mitchell, Imogen and Ursula, Koch and Esch, Tobias and Denny, Simon and Frich, Jan C. and Struijs, Jeroen and Sheikh, Aziz},
  issn         = {1054-139X},
  keyword      = {Health care quality,Access and evaluation,Health care systems,Young adults,Patient experience},
  language     = {eng},
  number       = {4},
  pages        = {413--420},
  publisher    = {Elsevier},
  series       = {Journal of Adolescent Health},
  title        = {Comparison of health care experience and access between young and older adults in 11 high-income countries},
  url          = {http://dx.doi.org/10.1016/j.jadohealth.2015.05.015},
  volume       = {57},
  year         = {2015},
}