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Improving health services for adolescents in England

Hargreaves, D; (2013) Improving health services for adolescents in England. Doctoral thesis , UCL (University College London). Green open access

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Abstract

Research objectives 1. Characterise adolescent (10-19 years) use of NHS hospital services in England, including inequality effects. 2. Analyse the inclusion, experience and priorities of adolescent patients in national surveys and compare these with other age groups. 3. Assess the validity of English national quality standards for adolescent health services in inpatient and emergency department settings. Methods Secondary analysis of national data including • Hospital Episode Statistics on inpatient activity among adolescents in England (1999/2000-2010/11). • Health Survey for England data on general measures of health and health risk among those aged 0-24 between 1999 and 2009. • Data from 38 national surveys undertaken between 2001 and 2011 (working in collaboration with the Picker Institute Europe). Findings • Healthcare activity increases throughout adolescence, particularly in females. • Adolescent inpatient activity has increased faster than that of younger children (aged 2-9) over the past decade, and adolescents have higher average activity rates. • Between 1999 and 2009, health inequality among young people increased for smoking but decreased for healthcare activity. • Children under 16 account for less than 0.6% of participants in recent national patient surveys. • Young people aged 16-24 report the poorest patient experience of any age group. • Compared to older adults, young men’s satisfaction with inpatient care was more strongly correlated with pain control, and young women’s satisfaction was more strongly correlated with perceived respect and dignity and provider characteristics. • Data covering the majority of You’re Welcome criteria show that they function well as a measure of quality for adolescent inpatient and Emergency Department services.

Type: Thesis (Doctoral)
Title: Improving health services for adolescents in England
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Third party copyright material has been removed from ethesis.
Keywords: Adolescent Health, Health Services Research, Patient Experience
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
URI: https://discovery.ucl.ac.uk/id/eprint/1389069
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