Luft H S, Hershey J C, Morrell J
Am J Public Health. 1976 Sep;66(9):865-71. doi: 10.2105/ajph.66.9.865.
This paper examines the relative importance of various independent variables for predicting five separate measures of physician utilization in a rural community. The independent variables include socioeconomic, demographic, attitudinal, and health status factors. The results are comparable to those of national studies which find that health status is the primary determinant of utilization. Income, price measures, and travel time are notable for their relative unimportance in this rural area. This suggests that resources are more likely to be allocated on the basis of medical need within a given health care market than across a number of market areas.
本文研究了各种自变量对预测农村社区医生利用情况的五项独立指标的相对重要性。自变量包括社会经济、人口统计学、态度和健康状况因素。研究结果与全国性研究结果相当，后者发现健康状况是医疗利用的主要决定因素。在这个农村地区，收入、价格指标和出行时间相对不重要，这表明在特定的医疗保健市场内，资源更有可能根据医疗需求进行分配，而不是在多个市场区域之间进行分配。
