BEYOND THE UNINSURED - PROBLEMS IN ACCESS TO CARE

被引:33
|
作者
BASHSHUR, RL
HOMAN, RK
SMITH, DG
机构
[1] Department of Health Services Management and Policy, School of Public Health, The University of Michigan, Ann Arbor, MI
关键词
ACCESS; UNINSURED; UNDERINSURED; HEALTH INSURANCE;
D O I
10.1097/00005650-199405000-00001
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This paper investigates the difficulties that people encounter in their attempt to obtain needed health services, other than their third-party coverage or lack of it. These problems can be temporal, geographic, attitudinal, or financial (even with insurance). A state-wide sample survey conducted in 1989 revealed that about 17% of Michigan's population experienced one or more of these kinds of difficulties in their attempts to receive medical care. Those at greater risk included persons with public insurance coverage (mostly Medicaid), persons with low incomes, persons in poor health, women, and members of some ethnic minority groups. The findings suggest that addressing the problem of access to care through an exclusive focus on the uninsured, especially through public programs, could leave significant residual problems for several segments in American society.
引用
收藏
页码:409 / 419
页数:11
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