Access to health care among older adults and receipt of preventive services. Results from the Behavioral Risk Factor Surveillance System, 2002
Access to health care among older adults and receipt of preventive services. Results from the Behavioral Risk Factor Surveillance System, 2002
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DOI：
10.1016/j.ypmed.2004.06.009
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发表时间：
2005-03-01
影响因子：
5.1
通讯作者：
Mokdad, AH
中科院分区：
文献类型：
--
作者：
Okoro, CA;Strine, TW;Mokdad, AH
背景虽然美国3400万65岁及以上的成年人中的大多数都有医疗保险，但许多人没有得到预防性护理。为了调查原因，我们检查了获得医疗保健的各种障碍及其对获得预防性护理的影响。方法。在2002年参与行为危险因素监测系统的州，对年龄在65岁或以上的非机构化成年人进行了一项横断面研究。在46，659名年龄在65岁及以上的受访者中，93%有定期护理提供者，98%有定期护理场所，98%能够获得所需的医疗护理。那些有定期护理提供者或定期护理场所的人比那些没有这两者的人更有可能接受临床预防服务。未获得所需医疗护理的原因是费用（27%）、等待预约时间过长（20%）、没有交通工具或距离（9%）、个人可以到达的办公室不开放（8%）以及其他原因（32%）。有一个定期的护理提供者或定期的护理场所与老年人接受临床预防服务的可能性很大。努力消除获得医疗保健的障碍可能会增加老年人获得此类服务的机会。(C)2004年癌症预防研究所和爱思唯尔公司。All rights reserved.
Background. Although most of the 34 million U.S. adults aged 65 years and older have health care coverage, many do not receive preventive care. To investigate why, we examined various barriers to access of health care and their effect on obtaining preventive care.Methods. A cross-sectional study was conducted of noninstitutionalized adults, aged 65 years or older, in states that participated in the Behavioral Risk Factor Surveillance System in 2002.Results. Of the 46,659 respondents aged 65 years and older, 93% had a regular care provider, 98% had a regular place of care, and 98% were able to obtain needed medical care. Those with a regular care provider or a regular place of care were more likely to receive clinical preventive services than those without either of these. Reasons for not obtaining needed medical care were cost (27%), too long a wait for an appointment (20%), no transportation or distance (9%), office not open when the individual could get there (8%), and other reasons (32%).Conclusions. Having a regular care provider or a regular place of care is associated with a significant likelihood of receipt of clinical preventive services among older adults. Efforts to eliminate barriers to health care access may increase older adults' receipt of such services. (C) 2004 The Institute For Cancer Prevention and Elsevier Inc. All rights reserved.