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University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository

Specialty

Primary Care

Advisor

Dr. Colletti

Abstract

Young adults represent a patient population with consistently low engagement in primary care and underutilization of preventative care services despite rising rates of chronic disease and mental health concerns. As individuals transition from pediatric to adult healthcare, they often face barriers to continuity due to competing personal, educational, and financial responsibilities. Recent national surveys indicate that fewer than 55% of young adults attend annual preventative visits, and nearly one-third experience gaps in health insurance coverage. This contributes to missed vaccinations, delayed detection of chronic diseases, inadequate reproductive health service accessibility, and increasing mental health concerns. Evidence suggests that targeted strategies, including digital engagement tools, integrated behavioral health services, and personalized outreach, can enhance continuity and improve long-term health outcomes for young adults. Physician Associates (PAs) are uniquely positioned to implement these approaches due to their accessibility and central role in interdisciplinary primary care teams. This manuscript reviews literature on increasing young adult healthcare engagement, examines barriers to preventive care utilization, and proposes evidence-based interventions to promote primary care continuity and reduce preventable morbidity in this patient population.

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