ArticleAmerican journal of health promotion : AJHP
Seeking, delaying, and avoiding routine health care services: patient perspectives.
Article in American journal of health promotion : AJHP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Impact of Changes in Medicaid Provider Fees on Provider Participation and Enrollees' Care: a Systematic Literature Review.Journal of general internal medicine · 2019Pooled it
- Predictors of Health Self-Management Program Preference Among Lower-to-Middle Wage Employed Adults With Chronic Health Conditions.American journal of health promotion : AJHP · 2019Trial
- Patient Healthcare Seeking If There Were No Limits.Journal of the American Board of Family Medicine : JABFM · 2025Article
- Emergency department visits as a potential opportunity to promote primary care attachment and modify utilization patterns - results of a pilot study in Berlin, Germany.BMC emergency medicine · 2024Article
- Health outcomes and healthcare utilization associated with four undiagnosed chronic conditions: evidence from nationally representative survey data in Sri Lanka.BMC global and public health · 2024Article
- Facilitators and barriers of implementation of routine postnatal care guidelines for women: A systematic scoping review using critical interpretive synthesis.Journal of global health · 2023Article
- Cancer Screening after the Adoption of Paid-Sick-Leave Mandates.The New England journal of medicine · 2023Article
- Predictors of Medical Care Delay or Avoidance Among Chinese Adults During the COVID-19 Pandemic.Patient preference and adherence · 2023Article
- Head and Neck Cancer Stage at Presentation and Survival Outcomes Among Native Hawaiian and Other Pacific Islander Patients Compared With Asian and White Patients.JAMA otolaryngology-- head & neck surgery · 2022Article
- Prostate cancer screening behaviors among Indo-Guyanese.Cancer causes & control : CCC · 2022Article
- Disparities in healthcare access and utilization and human papillomavirus (HPV) vaccine initiation in the United States.Human vaccines & immunotherapeutics · 2021Article
- Neuroradiological emergency consultations during the first year of the COVID-19 pandemic.Neurological research and practice · 2021Article
- Caring for Our Community: Telehealth Interventions as a Promising Practice for Addressing Population Health Disparities of LGBTQ+ Communities in Health Care Settings.Delaware journal of public health · 2019Article
- Exploring the feelings of Iranian women of reproductive age about health care seeking behavior: a qualitative study.Health promotion perspectives · 2018Article
- The Role of the Medicaid Expansion in the Use of Preventive Health Care Services in California Men.American journal of men's healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
purposeTo explore/identify patient perspectives regarding seeking, delaying, and avoiding health care services, particularly barriers and facilitators.
designFace-to-face interviews with health plan survey respondents.
settingAn integrated health plan providing comprehensive care to 480,000 people in Oregon and Washington.
participantsWilling respondents randomly selected to maximize heterogeneity within the following strata: gender, health care utilization, and self-reported alcohol consumption (indicator of health practices). Participants were 75 men and 75 women (150 total), 21 to 64 years old, with ≥12 months of health plan membership.
methodParticipants were recruited by letter (52.5% agreed). Data collection stopped when planned interviews were completed; saturation (the point at which additional interviews were not producing novel information) was achieved for key study questions. Semi-structured interviews were recorded, transcribed, and coded. Reviews of codes related to care seeking and feelings/attitudes about providers produced common themes.
resultsFacilitators of care seeking included welcoming staff, collaborative relationships with providers, and education about the value of preventive care. Barriers included costs, time needed for appointments, and cumbersome processes. Some participants delayed procedures, some avoided care until absolutely necessary, others framed care as routinely necessary.
conclusionIncreasing comfort, improving appointment and visit-related processes, having positive patient-physician relationships, and enhancing communication and clinician-provided education may facilitate appropriate use of preventive services. Further research is needed with larger, representative samples to evaluate findings.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.