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Table 1 shows the referrals from (rows) and to (columns) the most important medical disciplines as well as the proportions of physician-ordered referrals and self-utilization of specialists in the incidence quarter.
Self reported utilization of cervical cancer screening services was associated with age.
Most studies have been conducted using survey approaches and rely on self reported utilization behavior [ 14, 18, 19].
Patients from conflict zones have a longer delay in receiving a diagnosis of TB and have higher levels of self treatment utilization.
However, there was no association between self reported utilization of cancer screening services with age (p = 0.166), marital status (p = 0.606) and level of education (p = 0.526).
Fully adjusted logistic regression analysis shows that patients from conflict zones had significantly greater odds of delay (OR = 3.06; 95% CI: 1.47-6.36) and higher self treatment utilization (OR = 3.34; 95% CI: 1.56-7.12) compared to those from non-conflict zones.
Statewide self-reported utilization data were obtained from the Oregon Pregnancy Risk Assessment Monitoring System PRAMSS).
Rates of self-reported utilization of health services in this study reflect differences across immigrants groups.
Rather than relying on self-reported utilization, records from insurance companies and other payers should be accessed.
Resources include physical activity, balanced nutrition, social support, general self-efficacy, utilization of medical services and the quality of medical care according to the Chronic Care Model [ 19].
Self-care utilization was associated with 83% and 92% increased odds in lack of privacy during consultation and perceived disrespect for patients by clinic staff, respectively.
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