HISPANIC AND RURAL ELDERS' SATISFACTION WITH HEALTH CARE

对可获得性和质量的满意度评级 卫生服务是社区卫生系统绩效的有用指标。 满意度评级为卫生系统管理者、卫生政策制定者和 临床医生对消费者的期望和健康体验的洞察力 护理提供者和组织。这些信息可用于改善 组织、筹资和提供卫生服务。 特别令人关切的是， 为老年农村居民和西班牙裔美国人提供的医疗保健， 历史上的弱势群体。不幸的是，相对较少的人口- 基于对卫生保健可及性和质量满意度的研究， 包括农村和城市的西班牙裔。更少的研究关注 长者对可达性及质素的满意程度。此外，可能有 满意度的区域差异。拟议研究的目的是 有助于缩小我们对城乡和种族差异的理解上的差距 在老年人的满意度和质量， 保健它将在一个相对较高的区域进行。 农村居民和墨西哥裔人的百分比。 研究 样本将基于一项卫生服务研究调查的参与者， 德州理工5000调查（Texas Tech 5000 Survey）Andersen和Aday的行为 卫生服务模型将被用来解释卫生系统， 诱发因素、使能因素和需求因素与对 可及性和质量。可访问性和质量将使用 消费者健康计划评估研究（CAHPS） 问卷

Ratings of satisfaction with the accessibility and quality of health services are useful indicators of community health system performance. Satisfaction ratings offer health system managers, health policy makers, and clinicians insight about consumers' expectations and experiences with health care providers and organizations. Such information can be used to improve the organization, financing, and delivery of health services. Of particular concern is the potential inadequate accessibility and quality of medical care provided to elderly rural residents and Hispanic Americans, two historically vulnerable populations. Unfortunately, relatively few population- based studies of satisfaction with health care accessibility and quality have included both rural and urban Hispanics. Even fewer studies have focused on elders' satisfaction with accessibility and quality. Moreover, there may be regional variation in satisfaction. The purpose of the proposed study is to help close the gap in our understanding of rural/urban and ethnic differences in elderly persons' satisfaction with the accessibility and quality of their health care. It would be conducted in a region with a relatively high percentage of rural residents and persons of Mexican descent. The study sample will be based on participants in a health services research survey of elderly persons (the Texas Tech 5000 survey). Andersen and Aday's behavioral model of health services will be employed to explain how health system, predisposing, enabling, and need factors are associated with perceptions of accessibility and quality. Accessibility and quality will be assessed using measures from the Consumer Assessment of Health Plans Study (CAHPS) questionnaire.