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BMC Health Services Research

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Open Access 01-12-2016 | Research article

The Youth Health Care measure-satisfaction, utilization, and needs (YHC-SUN)-development of a self-report version of the Child Health Care (CHC-SUN) proxy-measure

Authors: Silke Schmidt, Ute Thyen, Carsten Herrmann-Garitz, Franziska Bomba, Holger Muehlan

Published in: BMC Health Services Research | Issue 1/2016

Abstract

Background

The transition of health care of youth (age 15–25) with chronic conditions requires the assessment of adolescents’ access, use and needs as well as satisfaction with the health services they use. The aim of this study was to test the adolescent adaptation of the parent version “Child Health Care Questionnaire - Satisfaction, Utilization and Needs” (CHC-SUN) concerning its psychometric performance and appropriateness for adolescents and young adults.

Methods

The Youth Health Care Measure (YHC-SUN) was designed to allow self-report of youth and it was pilot-tested in a small sample using cognitive debriefing. A cross-sectional survey in a sample of youth with chronic conditions in the transition period was carried out.

Results

One hundred eighty-two ambulatory care patients with three conditions participated in the survey. The subscales of the section on satisfaction with care showed excellent internal consistencies, uni-dimensionality and fit to the model of the parent version. There was no impact of gender and education on satisfaction with care. Associations with age, diagnosis, experiences with care and health literacy affecting the satisfaction with care indicate discriminatory and content validity.

Conclusions

Potential applications of the new instrument are evaluations of health care services for adolescents and young adults using self-reports and evaluations of transition programs and interventions such as patient education.

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Title: The Youth Health Care measure-satisfaction, utilization, and needs (YHC-SUN)-development of a self-report version of the Child Health Care (CHC-SUN) proxy-measure
Authors: Silke Schmidt
Ute Thyen
Carsten Herrmann-Garitz
Franziska Bomba
Holger Muehlan
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: BMC Health Services Research / Issue 1/2016
Electronic ISSN: 1472-6963
DOI: https://doi.org/10.1186/s12913-016-1419-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The Youth Health Care measure-satisfaction, utilization, and needs (YHC-SUN)-development of a self-report version of the Child Health Care (CHC-SUN) proxy-measure

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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