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Access to quality health services: determinants of access.

Authors: Tony, Sinay;

Access to quality health services: determinants of access.

Abstract

Access to health care has been the focus of national health policy in recent years, but little attention has been given to local communities and their access issues. This study offers a conceptual framework and an empirical analysis to identify the independent effect of predisposing, enabling, and medical need factors on access to care in a local community. In addition, access limitations related to the health plan and individual providers are incorporated into the access model. A hierarchical logistic regression is used in which the dichotomous dependent variable-residents' overall satisfaction with access to health care is regressed on five blocks of predictor variables. The most influential variables on access are enabling and health plan variables.

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Keywords

Adult, Male, Health Services Needs and Demand, Adolescent, Medicaid, Health Policy, Health Status, Health Maintenance Organizations, Fee-for-Service Plans, Consumer Behavior, Middle Aged, Medicare, Health Services Accessibility, Logistic Models, Catchment Area, Health, Health Care Surveys, Humans, Female, Community Health Services, Aged

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Found an issue? Give us feedback
selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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