Receipt of preventive care among adults: Insurance status and usual source of care

Receipt of preventive care among adults: Insurance status and usual source of care
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DOI:
10.2105/ajph.93.5.786
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发表时间:
2003-05-01
影响因子:
12.7
通讯作者:
Green, L
Green, L
中科院分区:
医学2区
文献类型:
--
作者:
DeVoe, JE;Fryer, GE;Green, L

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目标。这项研究确定了拥有保险和通常的护理来源对接受预防性服务的单独和联合影响。对1996年的医疗费用调查资料进行描述性和多因素分析。接受预防性服务与保险和通常的护理来源密切相关。有通常护理来源的参保成年人最有可能接受服务,与没有定期护理的未参保成年人最不可能接受服务相比,发现有显著差异。那些。有普通护理或保险来源的患者有中等水平的预防性服务。拥有通常的护理来源和医疗保险对于实现国家预防目标都很重要。
Objectives. This study ascertained the separate and combined effects of having insurance and a usual source of care on receiving preventive services.Methods. Descriptive and multivariate analyses of 1996 Medical Expenditure Panel Survey data were conducted..Results. Receipt of preventive services was strongly associated with insurance and a usual source of care. Significant differences were found between insured adults with a usual source of care, who were most likely to have received services, compared with uninsured adults without regular care, who were least likely to have received services. Those. with either a usual source of care or insurance had intermediate levels of preventive services.Conclusions. Having a usual source of care and health insurance are both important to achieving national prevention goals.