Family Health
Utilization and Effects of Family Membership
Bibliographic Data
| ID | 9102845 |
|---|---|
| Authors | Edward Schor, Edward L Schor (0000-0003-0327-8609, Johns Hopkins University, corresponding author), Barbara Starfield, Christine Stidley, Christine A Stidley (University of New Mexico), Janet R Hankin (0000-0001-8309-7722, Wayne State University), Janet Hankin |
| Year | 1987 |
| Volume | 25 |
| Issue | 7 |
| Pages | 616-626 |
| Publication date | 1987-07-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198707000-00005 |
| OpenAlex | W4321508432 |
| Language | EN |
| Citations received | 15 |
The purpose of this study was to determine the extent to which members of families have similar and interralated health behavior. Utilization and morbidity data from more than 80,000 ambulatory visits by 693 families enrolled in a prepaid health plan for 6 consecutive years were examined using family membership as the major unit of analysis. Family members were found to resemble one another in their rates of use of services (r = 0.44; P< 0.001). Parental influence on children's utilization is significant, mothers generally being two to three times more powerful than fathers in this regard. Apart from family size, structural characteristics of families contribute little to family health behavior. Family membership explains nearly one third of the variance of individual utilization even after family size and age and sex of family members are considered. A small proportion of families (5%) accounts for a disproportionately large share (12.3%) of health care utilization. Intrafamilial patterns of morbidity were apparent for several major groupings of diagnoses, most notably for acute health problems. Intrafamilial correlation were greatest among high-utilizing families. Families establish patterns of health behavior that are stable over time and therefore may be amenable to selective interventions. We conclude that health care planning, whether for service delivery or health education intervention, should consider family health data as an important information source
Family health · Family medicine · Health care · Health plan · Intervention (counseling) · Psychological intervention · Demography · Food Security and Health in Diverse Populations · Health disparities and outcomes · Healthcare Policy and Management · Medicine · Nursing · Psychology · Gerontology
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| Unique citing works | 15 |
|---|---|
| Citations per year | 0,52 |
| Citation span | 1997 - 2023 (27) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 15 |