In:
American Journal of Public Health, American Public Health Association, Vol. 94, No. 10 ( 2004-10), p. 1788-1794
Abstract:
Objectives. We evaluated self-perceived access to health care in a cohort of Medicare beneficiaries. Methods. We identified patterns of use and barriers to health care from self-administered questionnaires collected during the 1993–1994 annual examination of the Cardiovascular Health Study. Results. The questionnaires were completed by 4889 (91.1%) participants, with a mean age of 76.0 years. The most common barriers to seeing a physician were the doctor’s lack of responsiveness to patient concerns, medical bills, transportation, and street safety. Low income, no supplemental insurance, older age, and female gender were independently related to perceptions of barriers. Race was not significant after adjustment for other factors. Conclusions. Psychological and physical barriers affect access to care among the elderly; these may be influenced by poverty more than by race.
Type of Medium:
Online Resource
ISSN:
0090-0036
,
1541-0048
DOI:
10.2105/AJPH.94.10.1788
Language:
English
Publisher:
American Public Health Association
Publication Date:
2004
detail.hit.zdb_id:
2054583-6
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