PMID: 15224958Jul 1, 2004Paper

A framework for evaluating safety-net and other community-level factors on access for low-income populations

Inquiry : a Journal of Medical Care Organization, Provision and Financing
Pamela L DavidsonE Richard Brown

Abstract

The framework presented in this article extends the Andersen behavioral model of health services utilization research to examine the effects of contextual determinants of access. A conceptual framework is suggested for selecting and constructing contextual (or community-level) variables representing the social, economic, structural, and public policy environment that influence low-income people's use of medical care. Contextual variables capture the characteristics of the population that disproportionately relies on the health care safety net, the public policy support for low-income and safety-net populations, and the structure of the health care market and safety-net services within that market. Until recently, the literature in this area has been largely qualitative and descriptive and few multivariate studies comprehensively investigated the contextual determinants of access. The comprehensive and systematic approach suggested by the framework will enable researchers to strengthen the external validity of results by accounting for the influence of a consistent set of contextual factors across locations and populations. A subsequent article in this issue of Inquiry applies the framework to examine access to ambulatory care f...Continue Reading

References

Dec 1, 1992·Journal of Health and Social Behavior·A PortesW W Eaton
Jan 1, 1990·Journal of Health Care for the Poor and Underserved·P F ShortD E Goldstone
Jan 1, 1990·Annual Review of Public Health·E R Brown, G Dallek
May 1, 1985·Medical Care·B S Hulka, J R Wheat
Dec 1, 1984·American Journal of Public Health·L A Aday, R M Andersen
Mar 1, 1983·Medical Care·J L TannerJ L Spaeth
Apr 1, 1980·American Journal of Public Health·L A AdayR Andersen
Jan 1, 1995·Health Affairs·J C CantorM S Marquis
Mar 1, 1995·Journal of Health and Social Behavior·R M Andersen
Jan 1, 1993·Health Affairs·P J Cunningham
Jan 1, 1993·Health Affairs·J BillingsL Newman
Jan 1, 1996·Health Affairs·D J Lipson, N Naierman
Jan 1, 1996·Health Affairs·A Katz, J Thompson
Jan 1, 1996·Health Affairs·M GoldK Chu
Jan 1, 1996·Health Affairs·D Checkett
Oct 1, 1996·Health Affairs·J BillingsL S Newman
Nov 1, 1996·The American Journal of Medicine·J ScheuerC P Clayton
Jan 1, 1997·Health Affairs·K GrumbackA B Bindman
Mar 1, 1997·Health Affairs·J Holahan, D Liska
Jul 1, 1997·Health Affairs·R J Baxter, R E Mechanic
Jul 1, 1997·Health Affairs·L E Fishman, J D Bentley
Jul 1, 1997·Health Affairs·P J Cunningham, H T Tu
Feb 10, 1998·Health Affairs·J C CantorS Marquis
Jun 17, 1998·JAMA : the Journal of the American Medical Association·J R LaveC P LaVallee
Jun 25, 1998·Health Affairs·S Wall
Jun 25, 1998·Health Affairs·M R Ellwood, L Ku
Jun 25, 1998·Health Affairs·M Lillie-Blanton, B Lyons
Aug 6, 1998·Health Affairs·C R Steinberg, R J Baxter
Aug 27, 1998·Journal of Women's Health·P F Short
Sep 18, 1998·JAMA : the Journal of the American Medical Association·P J Cunningham, P Kemper
Sep 23, 1998·Journal of Microencapsulation·D J Burgess, S Ponsart
Oct 6, 1998·Academic Medicine : Journal of the Association of American Medical Colleges·R Martinez
Dec 5, 1998·Archives of Dermatology·S A Norton
Jan 23, 1999·Health Affairs·A WellJ Holahan
Feb 2, 1999·Health Affairs·M J McCueM Jurgensen
Mar 31, 1999·Medical Care·J A BrownD O Farley
Apr 3, 1999·JAMA : the Journal of the American Medical Association·P J CunninghamC S Lesser
Dec 13, 1979·Evaluation and Program Planning·M A Solomon
Jun 8, 1999·JAMA : the Journal of the American Medical Association·S H Long, M S Marquis
Jul 1, 1999·Health Affairs·J HolahanM Schirmer

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Citations

May 23, 2008·Journal of Community Health·David C MillerMark S Litwin
May 19, 2011·Journal of Community Health·Bruce B Wallace, Michael I Macentee
Dec 31, 2011·Journal of Immigrant and Minority Health·Chinda S DouangmalaLisa L Schnepper
Feb 14, 2008·The Journal of Behavioral Health Services & Research·Jim E BantaCharles Holzer
Mar 17, 2011·Journal of General Internal Medicine·Jennifer E DeVoeHeather Angier
Feb 2, 2011·BMC Health Services Research·Lyn M Sibley, Jonathan P Weiner
Nov 10, 2013·BMJ Quality & Safety·Michelle Ko, Andrew B Bindman
Aug 22, 2013·Journal of Public Health Management and Practice : JPHMP·Huabin LuoBarbara Bardenheier
Dec 18, 2013·Journal of Community Health·Jewel Goodman ShepherdGeorge Maihafer
Jul 1, 2004·Inquiry : a Journal of Medical Care Organization, Provision and Financing·E Richard BrownNatasha Razack
May 22, 2013·Administration and Policy in Mental Health·Cynthia A FontanellaJohn C Fortney
Oct 2, 2014·Journal of Public Health Management and Practice : JPHMP·J Mac McCulloughHector P Rodriguez
Oct 1, 2005·American Journal of Public Health·Anthony RamirezTheodora Papachristou
May 1, 2012·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Pauline Karikari-MartinMarcia Phillips
Dec 1, 2006·Expert Review of Pharmacoeconomics & Outcomes Research·Constance LiuDavid Litaker
Aug 28, 2012·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Jennifer E DevoeHeather Angier
Sep 17, 2008·Health Services Research·Brian C QuinnEugene Felber
Apr 2, 2009·Journal of Evaluation in Clinical Practice·Sylvie Dubois, Carmen G Loiselle
Jun 26, 2013·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Karyn E AlexanderDanielle Mazza
Oct 30, 2010·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Lars E Peterson, David G Litaker
Apr 16, 2011·European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe·P L DavidsonR M Andersen
Oct 30, 2010·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Jennifer J SalinasRonald J Angel
Dec 19, 2013·Health Services Research·Stacey McMorrow, Stephen Zuckerman
Dec 20, 2005·Nursing Outlook·Thomas C Ricketts, Laurie J Goldsmith
Feb 4, 2014·The Journal of the American Dental Association·Wonik LeeSuchitra Nelson
Mar 23, 2012·Revue D'épidémiologie Et De Santé Publique·A Ngamini NguiJ Caron
Jun 16, 2016·The Journal of the Association of Nurses in AIDS Care : JANAC·Jamie L Mignano
Oct 9, 2016·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Mustafa HusseinRobert I Field
May 3, 2014·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Jie ChenRobin Bloodworth
Sep 17, 2016·Medical Care·Joseph A BenitezJ'Aime C Jennings
Feb 15, 2017·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Heather R Rodriguez, Aram Dobalian
Aug 30, 2012·Medical Care Research and Review : MCRR·Carole Roan GresenzJosé J Escarce
Apr 8, 2015·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Jie ChenStephen B Thomas
Mar 6, 2018·Journal of Social Work in End-of-life & Palliative Care·Sally A HagemanJohn Cagle
May 3, 2018·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Miriam Ryvicker, Sridevi Sridharan
Apr 4, 2019·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Mi-Ryeong Gil, Cheon Geun Choi
Apr 3, 2019·Health Services Research·Leigh EvansM Patricia Fabian
Jan 31, 2009·Medical Care Research and Review : MCRR·Kathryn Pitkin DeroseJosé J Escarce
Jan 25, 2014·The Journal of Trauma and Acute Care Surgery·David A ForshPhilip R Wolinsky
Oct 17, 2019·Journal of Immigrant and Minority Health·P I DocumetR Amruthapuri

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