Barriers to health care access among the elderly and who perceives them
Barriers to health care access among the elderly and who perceives them
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DOI：
10.2105/ajph.94.10.1788
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发表时间：
2004-10-01
影响因子：
12.7
通讯作者：
Robbins, JA
中科院分区：
文献类型：
--
作者：
Fitzpatrick, AL;Powe, NR;Robbins, JA
目标。我们评估了一群医疗保险受益人对获得医疗保健的自我认知。方法。我们通过 1993-1994 年心血管健康研究年度检查期间收集的自填问卷确定了医疗保健的使用模式和障碍。结果。共有 4889 名参与者（91.1%）完成了问卷调查，平均年龄为 76.0 岁。看医生最常见的障碍是医生对患者担忧、医疗费用、交通和街道安全缺乏反应。低收入、没有补充保险、年龄较大和女性与对障碍的看法独立相关。调整其他因素后，种族并不显着。结论。心理和身体障碍影响老年人获得护理的机会；这些可能更多地受到贫困的影响，而不是种族的影响。
Objectives. We evaluated self-perceived access to health care in a cohort of Medicare beneficiaries.Methods. We identified patterns of use and barriers to health care from self-administered questionnaires collected during the 1993-1994 annual examination of the Cardiovascular Health Study.Results. The questionnaires were completed by 4889 (91.1%) participants, with a mean age of 76.0 years. The most common barriers to seeing a physician were the doctor's lack of responsiveness to patient concerns, medical bills, transportation, and street safety. Low income, no supplemental insurance, older age, and female gender were independently related to perceptions of barriers. Race was not significant after adjustment for other factors.Conclusions. Psychological and physical barriers affect access to care among the elderly; these may be influenced by poverty more than by race.