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Access to Medical Care for Low-Income Persons: How Do Communities Make a Difference?
Oleh:
Andersen, Ronald M.
;
Hongjian Yu
;
Wyn, Roberta
;
Davidson, Pamela L.
;
Brown, Richard E.
;
Teleki, Stephanie
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
Medical Care Research and Review vol. 59 no. 4 (Dec. 2002)
,
page 384-411.
Topik:
the impact of community-level
;
healthcare acess for low-income children
Fulltext:
384MCR59.4.pdf
(135.41KB)
Isi artikel
This paper considers the impact of community-level variables over and above the effects of individual characteristics on healthcare acess for low-income children and adults residing in large metropolitan statistical areas (MSAs). Further, we rank MSAs’ performance in promoting healthcare access for their low-income populations. The individuallevel data come from the 1995 and 1996 National Health Interview Survey (NHIS). The community-level variables are derived from multiple public-use data sources. The outcome variable is whether low-income individuals received a physician visit in the past twelve months. The proportion receiving a visit by MSA varied from 63% to 99% for children and from 62% to 83% for adults. Access was better for individuals with health insurance and a regular source of care and for those living in communities with more federally-funded health centers. Children residing in MSA
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