Andersen Ronald M, Yu Hongjian, Wyn Roberta, Davidson Pamela L, Brown E Richard, Teleki Stephanie
University of California, Los Angeles, USA.
Med Care Res Rev. 2002 Dec;59(4):384-411. doi: 10.1177/107755802237808.
This paper considers the impact of community-level variables over and above the effects of individual characteristics on healthcare access of low-income children and adults residing in large metropolitan statistical areas (MSAs). Further, we rank MSAs' performance in promoting healthcare access for their low-income populations. The individual-level data come from the 1995 and 1996 National Health Interview Survey (NHIS). The community-level variables are derived from multiple public-use data sources. The outcome variable is whether low-income individuals received a physician visit in the past twelve months. The proportion receiving a visit by MSA varied from 63% to 99% for children and from 62% to 83% for adults. Access was better for individuals with health insurance and a regular source of care and for those living in communities with more federally-funded health centers. Children residing in MSA.
本文考察了社区层面变量对居住在大都市区（MSA）的低收入儿童和成年人医疗保健可及性的影响，这些影响超出了个体特征的作用。此外，我们对各大都市区在促进其低收入人群医疗保健可及性方面的表现进行了排名。个体层面的数据来自1995年和1996年的国家健康访谈调查（NHIS）。社区层面的变量源自多个公共使用数据源。结果变量是低收入个体在过去十二个月内是否看过医生。按大都市区划分，儿童接受就诊的比例从63%到99%不等，成人为62%到83%。有医疗保险和固定医疗服务来源的个体，以及居住在有更多联邦资助医疗中心社区的个体，其医疗保健可及性更好。居住在大都市区的儿童。
