Children's Primary Health Care Services: A Social-Cognitive Model of Sustained High Use

Significant percentages of children exhibit patterns of sustained high use of primary health care services. Unfortunately, current models fail to explain the processes that drive and maintain such patterns. We draw upon the pediatric utilization and social-cognitive literature to develop a model tha...

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Bibliographic Details
Published in:Clinical psychology (New York, N.Y.) N.Y.), 2001, Vol.8 (2), p.228-241
Main Authors: Janicke, David M., Finney, Jack W.
Format: Article
Language:English
Subjects:
Child Psychology
children
Health Care Psychology
Health Care Utilization
Human
Parental Characteristics
Parental Stress
primary care
Primary Health Care
Self-Efficacy
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Summary:Significant percentages of children exhibit patterns of sustained high use of primary health care services. Unfortunately, current models fail to explain the processes that drive and maintain such patterns. We draw upon the pediatric utilization and social-cognitive literature to develop a model that explains the mechanisms that ultimately drive and maintain patterns of prolonged high use. Specifically, we propose that parental stress and low self-efficacy for coping with various parenting and life demands interact to drive the utilization of pediatric services. We outlined sequelae of frequent physician that serve to maintain high use. This model suggests a number of psychological interventions that clinical health psychologists might undertake to remediate inappropriate, sustained high use of children's primary healthcare services.
ISSN:0969-5893
1468-2850
DOI:10.1093/clipsy.8.2.228