Berk M L, Bernstein A B, Taylor A K
Inquiry. 1983 Winter;20(4):369-80.
Data from the National Medical Care Expenditure Survey were used to examine access to care and utilization of health services in federally designated health manpower shortage areas (HMSAs). It was confirmed that residents of shortage areas experience some deprivation in access to care and use of services. Further analysis, however, indicated that shortage area designation has little direct effect on indicators of access and use. Factors such as income and health insurance coverage appear to be more closely associated with access and use than is an area's designation as a HMSA. The assumptions concerning access to care in federally designated shortage areas should therefore be reexamined.
国家医疗保健支出调查的数据被用于研究联邦指定的卫生人力短缺地区（HMSA）的医疗服务可及性和卫生服务利用情况。研究证实，短缺地区的居民在医疗服务可及性和服务利用方面存在一定程度的匮乏。然而，进一步分析表明，短缺地区的指定对医疗服务可及性和利用指标几乎没有直接影响。与某地区被指定为卫生人力短缺地区相比，收入和医疗保险覆盖范围等因素似乎与医疗服务可及性和利用的关联更为紧密。因此，应当重新审视有关联邦指定短缺地区医疗服务可及性的假设。
