Use of health services by children and young people according to ethnicity and social class: secondary analysis of a national survey

Objective To assess whether equity is achieved in use of general practitioner, outpatient, and inpatient services by children and young people according to their ethnic group and socioeconomic background.

Heterogeneity in testing practices for infections during pregnancy: national survey across Switzerland.

QUESTION Detection and treatment of infections during pregnancy are important for both maternal and child health. The objective of this study was to describe testing practices and adherence to current national guidelines in Switzerland. METHODS We invited all registered practicing obstetricians and gynaecologists in Switzerland to complete an anonymous web-based questionnaire about strategies for testing for 14 infections during pregnancy. We conducted a descriptive analysis according to demographic characteristics. RESULTS Of 1138 invited clinicians, 537 (47.2%) responded and 520 (45.6%) were eligible as they are currently caring for pregnant women. Nearly all eligible respondents tested all pregnant women for group B streptococcus (98.0%), hepatitis B virus (HBV) (96.5%) and human immunodeficiency virus (HIV) (94.7%), in accordance with national guidelines. Although testing for toxoplasmosis is not recommended, 24.1% of respondents tested all women and 32.9% tested at the request of the patient. Hospital doctors were more likely not to test for toxoplasmosis than doctors working in private practice (odds ratio [OR] 2.52, 95% confidence interval [CI] 1.04-6.13, p = 0.04). Only 80.4% of respondents tested all women for syphilis. There were regional differences in testing for some infections. The proportion of clinicians testing all women for HIV, HBV and syphilis was lower in Eastern Switzerland and the Zurich region (69.4% and 61.2%, respectively) than in other regions (range 77.1-88.1%, p <0.001). Most respondents (74.5%) said they would appreciate national guidelines about testing for infections during pregnancy. CONCLUSIONS Testing practices for infections in pregnant women vary widely in Switzerland. More extensive national guidelines could improve consistency of testing practices.

National survey of speeding and other unsafe driving actions. Volume I: methodology.

National Highway Traffic Safety Administration, Office of Research and Traffic Records, Washington, D.C.

National survey of speeding and other unsafe driving actions. Volume II: driver attitudes and behavior.

National Highway Traffic Safety Administration, Office of Research and Traffic Records, Washington, D.C.

National survey of hazardous waste generators and treatment, storage, and disposal facilities regulated under RCRA in 1981.

Mode of access: Internet.

National survey of drinking and driving attitudes and behavior: 1995. Final report.

National Highway Traffic Safety Administration, Washington, D.C.

National survey of drinking and driving attitudes and behavior: 1997. Final report.

National Highway Traffic Safety Administration, Washington, D.C.

National survey of drinking and driving: attitudes and behavior:1999. Volume 1: findings.

National Highway Traffic Safety Administration, Office of Research and Traffic Records, Washington, D.C.

National survey of drinking and driving: attitudes and behavior: 1999. Volume 2: methods report.

National Highway Traffic Safety Administration, Office of Research and Traffic Records, Washington, D.C.

National survey of drinking and driving: attitudes and behavior: 2001. Volume 1: summary report.

National Highway Traffic Safety Administration, Office of Research and Traffic Records, Washington, D.C.

National Survey of Substance Abuse Treatment Services (N-SSATS) : 2000 data on substance abuse treatment facilities.

"June 2002"--T.p. verso."

Homelessness : programs and the people they serve : findings of the National Survey of Homeless Assistance Providers and Clients : summary /

"December 1999."

National Survey of Worksite Health Promotion Activities.

"Summer 1987."