Rural community-dwelling elders' reports of access to care: Are there Hispanic versus non-Hispanic white disparities?
Rural community-dwelling elders' reports of access to care: Are there Hispanic versus non-Hispanic white disparities?
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DOI：
10.1111/j.1748-0361.2004.tb00031.x
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发表时间：
2004-06-01
影响因子：
4.9
通讯作者：
Borders, TF
中科院分区：
文献类型：
--
作者：
Borders, TF
内容：消费者的报告可以提供有用的信息，需要改善特定的人口subgroup.Purpose的访问的尺寸：以确定是否有西班牙裔与非西班牙裔白色的差距，在农村老年人的报告，他们的医疗access.Methods：电话调查进行了2,097农村社区居住的老年人在西德克萨斯州。因变量包括报告获得护理的能力（见私人医生/护士，见专家，通过电话获得帮助，并获得前往诊所的交通工具）和报告获得护理的能力，而无需长时间等待（通过电话获得帮助，而无需长时间等待，需要时看到提供者的疾病/受伤，需要时看到提供者的常规护理，并有较短的办公室等待时间）。自变量包括诱发因素、使能因素和需求因素。结果：在单变量Logistic回归分析，西班牙裔有更糟糕的报告，他们的能力总是/通常看到他们的私人医生，看专家，获得运输到诊所，看医生的疾病/受伤时，想要的，并看到医生的常规护理时，想要的。当添加使能因素的模型，只有报告的能力，看医生的疾病或伤害和常规护理时，仍然显着的wanted.Conclusions：虽然农村医疗保健系统可能需要直接针对西班牙裔，以提高他们及时获得急性和常规护理，医疗保险覆盖面的增强可能会导致改善获得私人医生和专家之间的所有农村老年人。
Context: Consumer reports can provide useful information about the dimensions of access in need of improvement for particular population subgroups.Purpose: To determine if there are Hispanic versus non-Hispanic white disparities in rural elders' reports of their health care access.Methods: A telephone survey was conducted among 2,097 rural community-dwelling elders in West Texas. Dependent variables included reports of the ability to obtain care (see personal doctor/nurse, see specialist, obtain help over phone, and obtain transportation to the clinic) and reports of the ability to obtain care without a long wait (get help over the phone without a long wait, see provider for illness/injury when wanted, see provider for routine care when wanted, and have short office waiting times). Independent variables included predisposing, enabling, and need factors. Univariate and multivariate logistic regression analyses were conducted.Findings: In univariate logistic analyses, Hispanics had worse reports of their ability to always/usually see their personal doctor, see a specialist, obtain transportation to the clinic, see a doctor for illness/injury when wanted, and see a doctor for routine care when wanted. When adding enabling factors to the models, only reports of the ability to see a doctor for illness or injury and for routine care when wanted remained significant.Conclusions: Though the rural medical care system may need to target directly Hispanics to improve their timely access to acute and routine care, the enhancement of health insurance coverage may lead to improved access to personal doctors and specialists among all rural elders.