Literature DB >> 10358685

Access to care for the uninsured: is access to a physician enough?

A G Mainous1, W J Hueston, M M Love, C H Griffith.   

Abstract

OBJECTIVES: This study examined a private-sector, statewide program (Kentucky Physicians Care) of care for uninsured indigent persons regarding provision of preventive services.
METHODS: A survey was conducted of a stratified random sample of 2509 Kentucky adults (811 with private insurance, 849 Medicaid recipients, 849 Kentucky Physicians Care recipients).
RESULTS: The Kentucky Physicians Care group had significantly lower rates of receipt of preventive services. Of the individuals in this group, 52% cited cost as the primary reason for not receiving mammography, and 38% had not filled prescribed medicines in the previous year.
CONCLUSIONS: Providing free access to physicians fills important needs but is not sufficient for many uninsured patients to receive necessary preventive services.

Entities:  

Mesh:

Year:  1999        PMID: 10358685      PMCID: PMC1508656          DOI: 10.2105/ajph.89.6.910

Source DB:  PubMed          Journal:  Am J Public Health        ISSN: 0090-0036            Impact factor:   9.308


  7 in total

1.  Whatever happened to the health insurance crisis in the United States? Voices from a national survey.

Authors:  K Donelan; R J Blendon; C A Hill; C Hoffman; D Rowland; M Frankel; D Altman
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2.  A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity.

Authors:  J Ware; M Kosinski; S D Keller
Journal:  Med Care       Date:  1996-03       Impact factor: 2.983

3.  Insurance matters for low-income adults: results from a five-state survey.

Authors:  C Schoen; B Lyons; D Rowland; K Davis; E Puleo
Journal:  Health Aff (Millwood)       Date:  1997 Sep-Oct       Impact factor: 6.301

4.  Primary care and receipt of preventive services.

Authors:  A B Bindman; K Grumbach; D Osmond; K Vranizan; A L Stewart
Journal:  J Gen Intern Med       Date:  1996-05       Impact factor: 5.128

5.  Ability to obtain health care: recent estimates from the Robert Wood Johnson Foundation National Access to Care Survey.

Authors:  M L Berk; C L Schur; J C Cantor
Journal:  Health Aff (Millwood)       Date:  1995       Impact factor: 6.301

6.  Going bare: trends in health insurance coverage, 1989 through 1996.

Authors:  O Carrasquillo; D U Himmelstein; S Woolhandler; D H Bor
Journal:  Am J Public Health       Date:  1999-01       Impact factor: 9.308

7.  Preventable hospitalizations and access to health care.

Authors:  A B Bindman; K Grumbach; D Osmond; M Komaromy; K Vranizan; N Lurie; J Billings; A Stewart
Journal:  JAMA       Date:  1995-07-26       Impact factor: 56.272

  7 in total
  10 in total

1.  Charity care programs: part of the solution or part of the problem?

Authors:  S Kemble
Journal:  Public Health Rep       Date:  2000 Sep-Oct       Impact factor: 2.792

2.  Community- versus individual-level indicators to identify pediatric health care need.

Authors:  Cheryl Zlotnick
Journal:  J Urban Health       Date:  2007-01       Impact factor: 3.671

3.  In Low-Income Latino Patients, Post-Affordable Care Act Insurance Disparities May Be Reduced Even More than Broader National Estimates: Evidence from Oregon.

Authors:  John Heintzman; Steffani R Bailey; Jennifer DeVoe; Stuart Cowburn; Tanya Kapka; Truc-Vi Duong; Miguel Marino
Journal:  J Racial Ethn Health Disparities       Date:  2016-04-22

4.  Reports of insurance-based discrimination in health care and its association with access to care.

Authors:  Xinxin Han; Kathleen Thiede Call; Jessie Kemmick Pintor; Giovann Alarcon-Espinoza; Alisha Baines Simon
Journal:  Am J Public Health       Date:  2015-04-23       Impact factor: 9.308

5.  Using electronic health record data to evaluate preventive service utilization among uninsured safety net patients.

Authors:  John Heintzman; Miguel Marino; Megan Hoopes; Steffani Bailey; Rachel Gold; Courtney Crawford; Stuart Cowburn; Jean O'Malley; Christine Nelson; Jennifer E DeVoe
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6.  Influence of usual source of care on differences by race/ethnicity in receipt of preventive services.

Authors:  Giselle Corbie-Smith; Elaine W Flagg; Joyce P Doyle; Megan A O'Brien
Journal:  J Gen Intern Med       Date:  2002-06       Impact factor: 5.128

7.  The impact of insurance lapse among low-income children.

Authors:  Cheryl Zlotnick; Laurie A Soman
Journal:  J Urban Health       Date:  2004-12       Impact factor: 3.671

8.  Mammography facilities are accessible, so why is utilization so low?

Authors:  Lee R Mobley; Tzy-Mey May Kuo; Laurel J Clayton; W Douglas Evans
Journal:  Cancer Causes Control       Date:  2009-02-11       Impact factor: 2.506

Review 9.  Review of evidence and explanations for suboptimal screening and treatment of dyslipidemia in women. A conceptual model.

Authors:  Catherine Kim; Timothy P Hofer; Eve A Kerr
Journal:  J Gen Intern Med       Date:  2003-10       Impact factor: 5.128

10.  Usual source of care and the quality of primary care: a survey of patients in Guangdong province, China.

Authors:  Zhicheng Du; Yu Liao; Chien-Chou Chen; Yuantao Hao; Ruwei Hu
Journal:  Int J Equity Health       Date:  2015-07-31
  10 in total

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