Rural, urban and suburban comparisons of preventive services in family practice clinics.

Rural, urban and suburban comparisons of preventive services in family practice clinics.
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农村、城市和郊区家庭诊所预防服务的比较。

DOI:
10.1111/j.1748-0361.2001.tb00267.x
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发表时间:
2001
期刊:
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
影响因子:
--
通讯作者:
Crabtree,B
Crabtree,B
中科院分区:
--
文献类型:
--
作者:
Pol,LG;Rouse,J;Zyzanski,S;Rasmussen,D;Crabtree,B

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许多研究对农村和城市地区提供的保健服务进行了比较,总体上发现农村地区的利用率较低。利用率较低的一个重要因素是农村居民获得保健服务的机会较少。一旦病人有机会获得服务提供者,对农村和城市利用率的差异了解得就少得多。本文重点介绍了当病人已经在诊所接受预防服务。使用来自内布拉斯加州16个家庭诊所的深入定性研究的数据,比较了三个地理类别的医生特定预防服务率:农村,城市和郊区。单因素多变量方差分析的结果显示,在农村地区,所检查的9种服务的预防服务率一样高或更高,这表明农村卫生服务对患者的访问并不滞后。
Numerous studies have compared health services provided in rural and urban areas, and overall they have found that utilization is lower in rural areas. A significant factor in lower utilization is that rural residents have less access to health services. Much less is known about rural and urban utilization differences once a patient has access to a service provider. This paper focuses on preventive services received when a patient is already in a clinic. Using data from an in‐depth qualitative study of 16 family practice clinics in Nebraska, comparisons of physician‐specific preventive service rates are made across three geographic categories: rural, urban and suburban. Results from a one‐way multivariate analysis of variance show that preventive services rates for nine services examined were as high or higher in rural areas, suggesting that rural health services do not lag for patients with access.
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