未参保者获得医疗服务的情况：能看医生就够了吗？
Access to care for the uninsured: is access to a physician enough?
作者信息
Mainous A G, Hueston W J, Love M M, Griffith C H
机构信息
Department of Family Medicine, Medical University of South Carolina, Charleston 29425, USA.
出版信息
Am J Public Health. 1999 Jun;89(6):910-2. doi: 10.2105/ajph.89.6.910.
Abstract
OBJECTIVES
This study examined a private-sector, statewide program (Kentucky Physicians Care) of care for uninsured indigent persons regarding provision of preventive services.
METHODS
A survey was conducted of a stratified random sample of 2509 Kentucky adults (811 with private insurance, 849 Medicaid recipients, 849 Kentucky Physicians Care recipients).
RESULTS
The Kentucky Physicians Care group had significantly lower rates of receipt of preventive services. Of the individuals in this group, 52% cited cost as the primary reason for not receiving mammography, and 38% had not filled prescribed medicines in the previous year.
CONCLUSIONS
Providing free access to physicians fills important needs but is not sufficient for many uninsured patients to receive necessary preventive services.
摘要
目的
本研究调查了一个针对未参保贫困人口的全州性私营部门项目（肯塔基州医生关怀项目）的预防服务提供情况。
方法
对2509名肯塔基州成年人进行分层随机抽样调查（811名有私人保险者、849名医疗补助接受者、849名肯塔基州医生关怀项目接受者）。
结果
肯塔基州医生关怀项目组接受预防服务的比例显著较低。该组中有52%的人表示费用是未接受乳房X光检查的主要原因，38%的人在前一年未按处方取药。
结论
提供免费就医渠道满足了重要需求，但对许多未参保患者来说，这并不足以让他们获得必要的预防服务。
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本文引用的文献
1
Going bare: trends in health insurance coverage, 1989 through 1996.无医保情况：1989年至1996年医疗保险覆盖趋势
Am J Public Health. 1999 Jan;89(1):36-42. doi: 10.2105/ajph.89.1.36.
2
Insurance matters for low-income adults: results from a five-state survey.低收入成年人的保险问题：一项五州调查的结果
Health Aff (Millwood). 1997 Sep-Oct;16(5):163-71. doi: 10.1377/hlthaff.16.5.163.
3
4
Primary care and receipt of preventive services.初级保健与预防服务的接受情况。
J Gen Intern Med. 1996 May;11(5):269-76. doi: 10.1007/BF02598266.
5
A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity.一份12项简短健康调查问卷：量表构建及信效度初步测试。
Med Care. 1996 Mar;34(3):220-33. doi: 10.1097/00005650-199603000-00003.
6
Preventable hospitalizations and access to health care.可预防的住院治疗与医疗保健服务可及性
JAMA. 1995 Jul 26;274(4):305-11.
7
Ability to obtain health care: recent estimates from the Robert Wood Johnson Foundation National Access to Care Survey.获得医疗保健的能力：罗伯特·伍德·约翰逊基金会全国医疗服务可及性调查的最新估计
Health Aff (Millwood). 1995 Fall;14(3):139-46. doi: 10.1377/hlthaff.14.3.139.
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