SELF-CARE AND PHARMACEUTICAL ACCESS

专业药学服务的可获得性受到限制的程度 以及这些限制对以下方面的保健充分性的影响 农村老年人的问题仍然没有得到回答。该项目的主要目标 研究内容如下：(1)为农村老年人提供详细、客观的测量 在地域上接触医生和药房；(2)确定是否 受限制的地理访问导致个人取代家园 处方药的药品和非处方药；以及 (3)生成关于个体属性对 症状自理。 这项研究的设计是横断面的，以人群为基础。一个 爱荷华州270名65岁农村居民的空间分层随机抽样 年龄在5岁及以上的学生将被选中。卫生保健筹资管理局 列出爱荷华州联邦医疗保险随机抽样名称和地址的磁带 报名者将被用作抽样框架。个人的距离 就近的药房和医生的住所将由 将地址链接到地理坐标。采样帧将为 使用到最近药店的三个级别的距离进行分层 与最近的医生保持距离。这些将被排列以定义九个 层级。将从每一层中选择相同的样本量(n=30)。 访谈将收集所有症状、咨询和治疗。 在过去七天内发生的事件以及关于 个人。

The extent to which professional pharmaceutical care access may be limited and the implications of such limitations for adequacy of health care among the rural elderly remain unanswered questions. Principal goals of this study are: (1) to provide a detailed, objective measure of rural elders' geographical access to physicians and pharmacies; (2) to determine whether restricted geographical access leads individuals to substitute home remedies and nonprescription medications for prescription medications; and (3) to generate hypotheses about the effects of individuals' attributes on symptom self-care. The design for the study is cross-sectional and population-based. A spatially stratified random sample of 270 rural Iowa residents aged 65 years and older will be selected. Health Care Financing Administration tapes that list name and address of a random sample of Iowa Medicare enrollers will be used as the sampling frame. The distance of individuals' residences from the nearest pharmacy and physician will be determined by linking addresses to geographical coordinates. The sampling frame will be stratified using three levels of distance to the nearest pharmacy and of distance to the nearest physician. These will be permuted to define nine strata. Equal sample sizes (n=30) will be selected from each stratum. Interviews will collect all symptoms, consultations, and treatments occurring in the preceding seven days as well as data on attributes of individuals.