Access to health care for older persons in the United States: Personal, structural, and neighborhood characteristics
Access to health care for older persons in the United States: Personal, structural, and neighborhood characteristics
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DOI：
10.1177/089826430101300302
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发表时间：
2001-08-01
影响因子：
2.8
通讯作者：
Ronsaville, D
中科院分区：
文献类型：
--
作者：
Auchincloss, AH;Van Nostrand, JF;Ronsaville, D
目标：确定个人、结构和社区特征对美国老年人获得医疗保健的差异的影响。方法：本研究使用了 1994 年全国健康访谈调查、65 岁及以上老年人 (n = 12,341)、1990 年人口普查区块组数据以及卫生专业人员短缺地区的数据。逻辑回归用于对获得护理的问题的概率进行建模。结果：随着家庭收入梯度的下降以及那些缺乏私人医疗保险的人，获得服务问题的可能性急剧增加。农村地区和贫困地区在获得护理方面处于不利地位，而祖先遗产同质的社区的居民似乎能够更好地获得护理。讨论：考虑到邻里关系和个人特征之间的高度关联。值得注意的是，与个人物品结合后，任何邻里效应仍然存在。
Objective: To determine the contributions of personal, structural, and neighborhood characteristics to differential access to health care for older persons in the United States. Methods: This study used the 1994 National Health Interview Survey, ages 65 and older (n = 12,341), 1990 census block group data, and data on health professional shortage areas. Logistic regression was used to model the probability of problems accessing care. Results: The likelihood of access problems increased sharply with decreasing gradients of family income and for those lacking private health care insurance. Rural areas and poor areas were at a disadvantage in accessing care, whereas residents of neighborhoods that were homogeneous in ancestral heritage appeared better able to access care. Discussion: Considering the high association between neighborhood and personal characteristics. it is notable that any neighborhood effects remained after combining them with personal effects.