Changes in usual source of care and perceptions of health care access, quality, and use

Medical Care
Maureen A Smith, Jessica M Bartell

Abstract

We sought to evaluate the extent of changes in usual source of care and associations with perceived health care access, quality, and use. We collected cross-sectional data on adults from the 1998 to 1999 Community Tracking Household Survey (n = 48,720). Linear and logistic regressions accounted for survey design and possible confounders. Eleven percent of respondents reported a change in usual source of care in the last 12 months; 14% reported no usual source. After adjustment, respondents with a change in usual source reported more unmet needs than those with no usual source or a continuous usual source (13%, 10%, and 7%, respectively), whereas respondents with a change in usual source or no usual source reported lower satisfaction with health care than respondents with a continuous usual source (52%, 51%, and 68%, respectively). However, respondents with a change in usual source were more likely to see a physician in the last 12 months than those with no usual source or a continuous usual source (91%, 46%, and 83%, respectively). Persons who experience a change in usual source of care more closely resemble persons who have no usual source in perceptions of access and quality but resemble persons who have a continuous usual so...Continue Reading

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