PMID: 15224959Jul 1, 2004Paper

Effects of community factors on access to ambulatory care for lower-income adults in large urban communities

Inquiry : a Journal of Medical Care Organization, Provision and Financing
E Richard BrownNatasha Razack

Abstract

This study examines the effects of community-level and individual-level factors on access to ambulatory care for lower-income adults in 54 urban metropolitan statistical areas in the United States. Drawing on a conceptual behavioral and structural framework of access, the authors developed multivariate models for insured and uninsured lower-income adults to assess the adjusted effects of community- and individual-level factors on two indicators of access: having a usual source of care, and having at least one physician visit in the past year. Several community factors influenced access, but they did so differently for insured and uninsured adults and for the two measures of access used. The findings of this sttudy confirm that public policies and community environment have measurable and substantial impacts on access to care, and that expanded public resources, such as Medicaid payments and safety-net clinics, can lead to measurable improvements in access for vulnerable populations residing in large urban areas.

References

Jul 1, 1991·Medical Care·J B Mitchell
May 8, 1986·The New England Journal of Medicine·N LurieR H Brook
Mar 1, 1995·Journal of Health and Social Behavior·R M Andersen
Jan 1, 1993·Journal of Health Politics, Policy and Law·T Fanning, M de Alteriis
Jan 1, 1997·Health Affairs·K GrumbackA B Bindman
Oct 1, 1997·Social Science & Medicine·I Kawachi, B P Kennedy
Jun 17, 1998·JAMA : the Journal of the American Medical Association·J R LaveC P LaVallee
Mar 20, 1999·Chest·T M File
Apr 3, 1999·JAMA : the Journal of the American Medical Association·P J CunninghamC S Lesser
Jun 8, 1999·JAMA : the Journal of the American Medical Association·S H Long, M S Marquis
Aug 5, 1999·Neuropsychopharmacology : Official Publication of the American College of Neuropsychopharmacology·S E FileR Gallant
Feb 24, 2001·Journal of the Optical Society of America. A, Optics, Image Science, and Vision·J F KoretzP L Kaufman
Jan 2, 2003·Medical Care Research and Review : MCRR·Ronald M AndersenStephanie Teleki
Dec 4, 2003·Controlled Clinical Trials·Joseph F CollinsUNKNOWN DIG Investigators
Jul 1, 2004·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Pamela L DavidsonE Richard Brown
Dec 17, 2011·Health Services Research·Lindsay M Sabik

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Citations

Dec 31, 2011·Journal of Immigrant and Minority Health·Chinda S DouangmalaLisa L Schnepper
Apr 25, 2012·Journal of Immigrant and Minority Health·Edna A Viruell-FuentesMargarita Alegría
Feb 14, 2008·The Journal of Behavioral Health Services & Research·Jim E BantaCharles Holzer
Sep 21, 2005·The Journal of Ambulatory Care Management·Michelle Proser
Feb 2, 2011·BMC Health Services Research·Lyn M Sibley, Jonathan P Weiner
Jul 1, 2004·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Pamela L DavidsonE Richard Brown
Oct 1, 2005·American Journal of Public Health·Anthony RamirezTheodora Papachristou
Sep 17, 2008·Health Services Research·Brian C QuinnEugene Felber
Dec 19, 2013·Health Services Research·Stacey McMorrow, Stephen Zuckerman
Dec 20, 2005·Nursing Outlook·Thomas C Ricketts, Laurie J Goldsmith
Sep 1, 2005·Social Science & Medicine·Julia C Prentice
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
Jul 11, 2006·Journal of Health and Social Behavior·James B Kirby, Toshiko Kaneda
Jan 21, 2011·Policy, Politics & Nursing Practice·Pauline Karikari-Martin
Sep 13, 2007·Health Affairs·Mark V Pauly, José A Pagán
Apr 4, 2019·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Mi-Ryeong Gil, Cheon Geun Choi
May 14, 2019·Medical Care Research and Review : MCRR·Brendan SalonerJonathan Levin
Oct 3, 2015·The American Journal of Hospice & Palliative Care·Lisa C Lindley, Savithri Nageswaran
Apr 13, 2018·Population Health Management·Shamly AustinMaria Pisu
Sep 4, 2020·International Journal of Environmental Research and Public Health·Ju Young KimDo Van Dung
Dec 3, 2020·Journal of Public Health Dentistry·Jihee SongJeong Nam Kim
Aug 18, 2021·Journal of Racial and Ethnic Health Disparities·Baylee CroneTracy Sbrocco

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