HEALTH-SERVICES ACCESS AND USE AMONG OLDER ADULTS IN NORTH-CAROLINA - URBAN VS RURAL RESIDENTS
HEALTH-SERVICES ACCESS AND USE AMONG OLDER ADULTS IN NORTH-CAROLINA - URBAN VS RURAL RESIDENTS
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DOI：
10.2105/ajph.85.10.1384
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发表时间：
1995-10-01
影响因子：
12.7
通讯作者：
HORNER, R
中科院分区：
文献类型：
--
作者：
BLAZER, DG;LANDERMAN, LR;HORNER, R
目标.本研究比较了生活在北卡罗来纳州城市和农村的老年人对卫生服务的使用和对卫生保健的满意度。对北卡罗来纳州的一个城市和四个农村县的4162名居民进行分层随机抽样调查，以确定住院和门诊卫生服务使用、护理连续性和护理满意度以及护理障碍（交通、费用）的城市/农村差异。在对照分析中，住院和门诊服务的使用没有因居住地而异。在农村各县，持续护理更为频繁。交通并没有被认为是农村比城市更频繁的医疗保健的障碍，但成本是一个更大的障碍，农村老年人的照顾。在这个样本中，老年人的生活，在合理的驾驶距离内的城市县的主要医疗中心的农村县，经常使用的卫生服务，并与他们的卫生保健人员在城市县的满意度。然而，尽管有医疗保险，但护理费用是农村老年人的一个重大和持久的障碍。
Objectives. This study compared health service use and satisfaction with health care among older adults living in urban vs rural counties in North Carolina.Methods. A stratified random sample of 4162 residents of one urban and four rural counties of North Carolina was surveyed to determine urban/rural variation in inpatient and outpatient health service use, continuity of care and satisfaction With care, and barriers (transportation, cost) to care.Results. Inpatient and outpatient service use did not vary by residence in controlled analyses. Continuity of care was more frequent in rural counties. Transportation was not perceived as a barrier to health care more frequently in rural than in urban counties, but cost was a greater barrier to care among rural elderly people.Conclusions. In this sample, older persons living, in rural counties within reasonable driving distance of urban counties with major medical centers used health services as frequently and were as satisfied with their health cares persons in urban counties. Cost of care, however, was a significant and persistent barrier among rural elderly people, despite Medicare coverage.