Guendelman S, Schwalbe J
Med Care. 1986 Oct;24(10):925-40. doi: 10.1097/00005650-198610000-00006.
Factors associated with the utilization of medical care by Hispanic, black Non-Hispanic, and white Non-Hispanic children were analyzed using multivariate regression techniques on a Health Interview Survey sample. The findings indicate that Medicaid coverage was the sharpest enhancer of entry into care for Hispanics and blacks, contributing significantly to the amount of physician visits. While financial factors seemed more influential determinants of physician contacts for minorities, perceived health needs appeared to be important contributors to entry into health care for white children. Such differences reveal that important racial-ethnic disparities persist with respect to physician utilization among children. Improved insurance coverage for Hispanics, particularly children of Mexican origin, is suggested as an important intervention to facilitate access for this population.
利用健康访谈调查样本,采用多元回归技术分析了西班牙裔、非西班牙裔黑人以及非西班牙裔白人儿童使用医疗服务的相关因素。研究结果表明,医疗补助覆盖范围是西班牙裔和黑人儿童就医的最显著促进因素,对医生诊疗次数有显著影响。虽然经济因素似乎是少数族裔看医生的更具影响力的决定因素,但感知到的健康需求似乎是白人儿童就医的重要促成因素。这些差异表明,儿童在医生诊疗利用方面存在重要的种族差异。建议改善西班牙裔人群,尤其是墨西哥裔儿童的保险覆盖范围,作为促进该人群获得医疗服务的一项重要干预措施。