Kenney G M
Health Policy Center, Urban Institute, Washington, DC 20037.
Am J Public Health. 1993 Mar;83(3):412-4. doi: 10.2105/ajph.83.3.412.
In 1987, urban Medicare beneficiaries were 13.7% more likely than their rural counterparts to use Medicare home health care services. Regression analysis shows that rural use rates, particularly those in sparsely populated areas, fall short of those in urban areas, other things being equal. Rural areas have lower Medicare ceilings, proportionately fewer visiting nurse associations, and lower availability of auxiliary services. These factors combined account for 82% of the difference between rural and urban use rates.
1987年,城市医疗保险受益人使用医疗保险家庭医疗服务的可能性比农村受益人高13.7%。回归分析表明,在其他条件相同的情况下,农村使用率,尤其是人口稀少地区的使用率低于城市地区。农村地区医疗保险上限较低,访视护士协会数量相对较少,辅助服务的可获得性也较低。这些因素加起来占农村和城市使用率差异的82%。