Access to health care: Does neighborhood residential instability matter?
Access to health care: Does neighborhood residential instability matter?
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DOI：
10.1177/002214650604700204
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发表时间：
2006-06-01
影响因子：
5
通讯作者：
Kaneda, Toshiko
中科院分区：
文献类型：
--
作者：
Kirby, James B.;Kaneda, Toshiko
许多美国人无法获得足够的医疗服务。先前对此问题的研究主要集中在个人层面的影响因素，例如收入和保险范围。然而，社区层面的因素在帮助或阻碍个人获得所需医疗服务方面的作用并没有受到太多关注。我们通过调查社区居住不稳定与获得医疗保健之间的关联来解决文献中的这一空白。使用 2000 年医疗支出面板调查的个人层面数据和 2000 年十年一次的人口普查的街区组层面数据，我们发现居住在住宅周转率高的社区的个人比其他社区的居民获得更差的医疗保健机会。即使贫困率、医疗保健供应和各种个人特征保持不变，这种关联仍然存在。我们对这些发现进行了解释，并提出了未来研究的方向。
Many Americans do not have access to adequate medical care. Previous research on this problem focuses primarily on individual-level determinants Of access such as income and insurance coverage. The role of community-level factors in helping or hindering individuals in obtaining needed medical care, however, has not received much attention. We address this gap in the literature by investigating the association between neighborhood residential instability and access to health care. Using individual-level data from the 2000 Medical Expenditure Panel Survey and block-group level data from the 2000 decennial census, we find that individuals who live in neighborhoods with high residential turnover have worse health care access than residents of other neighborhoods. This association persists even when the prevalence of poverty, the supply of health care, and a variety of individual characteristics are held constant. We offer explanations for these findings and suggest directions for future research.