HISPANIC AND RURAL ELDERS' SATISFACTION WITH HEALTH CARE

对无障碍设施和质量的满意度评级 卫生服务是衡量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 临床医生洞察消费者对健康的期望和体验 护理提供者和组织。这些信息可以用来改进 卫生服务的组织、筹资和提供。 特别令人关切的是，可获得性和质量可能不足。 为农村老年居民和拉美裔美国人提供的医疗服务，两个 历史上易受伤害的人群。不幸的是，相对较少的人口- 基于对医疗服务可获得性和质量满意度的研究 包括农村和城市拉美裔美国人。更少的研究集中在 老年人对可获得性和质量的满意度。此外，可能会有 满意度的地区差异。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 老年人对其可获得性和质量的满意度 医疗保健。它将在一个相对较高的地区进行 农村居民和墨西哥裔人的比例。这项研究 样本将基于健康服务研究调查的参与者 老年人(德克萨斯理工大学5000调查)。安徒生和阿代的行为 卫生服务模型将被用来解释卫生系统如何， 诱因、促成因素和需求因素与人们对 可访问性和质量。可获得性和质量将使用以下方法进行评估 消费者健康计划评估研究(CAHPS)中的措施 问卷调查。

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.