A social indicator of access to medical care.
A social indicator of access to medical care.
复制标题
获得医疗保健的社会指标。
DOI：
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发表时间：
1975
影响因子：
5
通讯作者：
R. Andersen
中科院分区：
文献类型：
--
作者：
D. G. Taylor;L. Aday;R. Andersen
本研究引入了一个衡量医疗服务可及性的社会指标--就诊反应比，它反映了实际出现的症状的就诊次数与一组医生指出的相同症状的就诊次数之间的差异。对美国全国人口抽样的指数调查结果证实，在获得服务方面存在差别，而一般认为在其他获得服务的指标（常规使用措施、保险覆盖范围等）方面也存在差别。非白人，农村农民，穷人，以及那些没有通常的地方去医疗保健被发现有较少的机会获得保健比将被判断为适当的，根据社会反应指数。该指数还表明，在儿童和人群等某些群体中可能存在“过度使用”。他们把专家视为他们的常规护理来源。
This study introduces a social indicator of access to medical care-the symptoms-response ratiothat reflects the difference between the number of visits in response to symptoms that actually occur and the number that a panel of physicians indicate is appropriatefor these same symptoms. Findings on the indexfor a national sample of the United States population affirm differentials in access that are generally thought to exist in terms of other access indicators (conventional use measures, insurance coverage, etc.). Nonwhites, ruralfarm people, the poor, and those who have no usual place to gofor medical care werefound to have less access to care than would be judged appropriate, based on the symptoms-response index. The index also suggests possible "over-utilization" among certain groups such as children and people. who see specialists as their regular source of care.