ACCESS TO MEDICAL-CARE IN UNITED-STATES - REALIZED AND POTENTIAL
ACCESS TO MEDICAL-CARE IN UNITED-STATES - REALIZED AND POTENTIAL
复制标题
DOI：
10.1097/00005650-197807000-00001
复制
发表时间：
1978-01-01
期刊：
影响因子：
3
通讯作者：
ADAY, LA
中科院分区：
文献类型：
--
作者：
ANDERSEN, R;ADAY, LA
本文试图提供一个框架，以了解美国人口中不同的医疗保健机会，并提出实现机会公平的方法。该框架是由健康服务利用的行为模型提供的，该模型提出了一系列易感、使能和疾病变量，这些变量决定了人们将去看医生的次数。该模型使用路径分析技术进行了操作。这些数据来自1975年底和1976年初对非制度化美国人口进行的全国调查。结果表明，由于年龄和疾病水平是人们获得服务数量的主要决定因素，服务的分配总体上是公平的。然而，通过向报告没有定期医疗保健来源的人提供熟悉的进入卫生服务系统的途径，可以减少剩余的不平等现象。
This paper seeks to provide a framework for understanding differential access to medical care in the US population and to suggest ways to achieve equity of access. The framework is provided by a behavioral model of health services utilization which suggests a sequence of predisposing, enabling and illness variables that determine the number of times people will visit a physician. The model is operationalized using a path analytic technique. The data come from a national survey of the noninstitutionalized US population conducted in late 1975 and early 1976. The results suggest services are generally equitably distributed since age and level of illness are the main determinants of the number of services people receive. However, remaining inequities might be reduced by providing people who report no regular source of medical care with a familiar entry into the health service system.