Salber E J, Greene S B, Feldman J J, Hunter G
Med Care. 1976 Dec;14(12):971-86. doi: 10.1097/00005650-197612000-00001.
This case study of utilization of health care services in a rural southern community is the first of a series of reports dealing with access to care in this community. The most striking findings were the low utilization of physician and dental services compared with national standards (particularly by the black population) and the infrequent use of private physicians by blacks. Possible explanations for these findings are the short time interval since integration of services after Medicare and Medicaid legislation, the short supply of primary care physicians, especially black, in this community, and the reluctance of white physicians to accept Medicaid patients. We postulate that while employment and social mobility have improved greatly for blacks, established methods of medical and dental practice have changed slowly.
这项关于美国南部农村社区医疗服务利用情况的案例研究，是一系列探讨该社区医疗服务可及性报告中的第一篇。最显著的发现是，与国家标准相比，该社区医生和牙科服务的利用率较低（尤其是黑人人口），且黑人很少使用私人医生。这些发现的可能解释包括：医疗保险和医疗补助立法后服务整合的时间间隔较短；该社区初级保健医生，尤其是黑人医生供应短缺；以及白人医生不愿接受医疗补助患者。我们推测，虽然黑人的就业和社会流动性有了很大改善，但既定的医疗和牙科执业方式变化缓慢。
