REGULAR SOURCE OF AMBULATORY CARE AND ACCESS TO HEALTH-SERVICES
REGULAR SOURCE OF AMBULATORY CARE AND ACCESS TO HEALTH-SERVICES
复制标题
DOI：
10.2105/ajph.81.4.434
复制
发表时间：
1991-04-01
影响因子：
12.7
通讯作者：
COREY, CR
中科院分区：
文献类型：
--
作者：
HAYWARD, RA;BERNARD, AM;COREY, CR
背景资料：研究为什么人们缺乏一个定期的门诊护理来源（RSAC），并探讨这种常用的访问措施是否准确地识别人群亚组的障碍，以连续性care.Methods的风险：使用1986年全国电话调查的数据，我们进行了内容分析的主题的逐字报告，为什么他们缺乏一个RSAC结果：16.4%没有RSAC的受访者给出了以下原因：1）财务问题，8%; 2）当地资源不可用，5%; 3）不想定期获得门诊护理，61%; 4）暂时失去定期门诊护理，18%。 然而，一些社会人口分组报告了更多的问题与准入障碍，这些差距往往没有发现的全球措施，RSAC。 穷人并不比非穷人更有可能缺乏RSAC（比值比[OR] = 0.8; 95%置信区间，[0.6，1.1]），但更有可能因经济原因而缺乏RSAC（OR = 5.2 [2.6，10.6]）。 同样，农村受访者并不比城市居民更有可能缺乏RSAC，但更有可能缺乏RSAC，因为当地资源的不可及性（OR = 5.8 [2.8，11.9]）。结论：我们得出结论，全球措施，RSAC，是不是一个准确的指标，人口亚组是否有获得连续性护理来源的障碍。
Background: To examine why people lack a regular source of ambulatory care (RSAC) and explore whether this commonly used access measure accurately identifies population subgroups at risk for barriers to continuity care.Methods: Using data from a 1986 national telephone survey, we performed a content analysis of subjects' verbatim reports as to why they lacked an RSAC (n = 5,748).Results: The 16.4 percent of respondents who lacked an RSAC gave the following reasons: 1) financial problems, 8 percent; 2) local resource inaccessibility, 5 percent; 3) not wanting a regular source of ambulatory care, 61 percent; and 4) transitory loss of their regular source of ambulatory care, 18 percent. However, some sociodemographic subgroups reported substantially more problems with access barriers, and these disparities were often not detected by the global measure, RSAC. The poor were not more likely than the non-poor to lack an RSAC (odds ratio [OR] = 0.8; 95% confidence interval, [0.6, 1.1]), but were much more likely to lack an RSAC for financial reasons (OR = 5.2 [2.6, 10.6]). Similarly, rural respondents were not more likely than urban dwellers to lack an RSAC, but were more likely to lack an RSAC because of local resource inaccessibility (OR = 5.8 [2.8, 11.9]).Conclusions: We conclude that the global measure, RSAC, is not an accurate indicator of whether population subgroups have access barriers to obtaining a source of continuity care.