Monica Smith1. 1. National University Health Sciences, Lombard, IL, USA. msmith@nuhs.edu
Abstract
OBJECTIVES: The purpose of this study was to explore the extent to which individuals with back pain or other health conditions and individuals with no health problems report having a usual source of care (USC) for their health care needs. METHODS: This study evaluated longitudinal Medical Expenditures Panel Survey data (data pooled for survey calendar years 2000-2006). Comparisons were made between adult Medical Expenditures Panel Survey respondents identified as having a back pain condition (n = 10 194) compared with those without back pain but with other health condition (n = 45 541) and those with no back pain and no other condition (n = 5497). RESULTS: Compared with individuals with no health problems, those with back pain were almost 8 times more likely (odds ratio, 7.8; P < .001) to report having a USC, and those with other health problems besides back pain were 5 times more likely (odds ratio, 5.4; P < .001). For those with a USC, individuals with back pain and those with other problems but not back pain were both approximately one-and-a-half times more likely than those without any health problems to report a specific provider type as their USC (P < .001). CONCLUSION: Study findings suggest that relatively healthy adults without back pain are less likely to have a USC than those with back pain or other health problems.
OBJECTIVES: The purpose of this study was to explore the extent to which individuals with back pain or other health conditions and individuals with no health problems report having a usual source of care (USC) for their health care needs. METHODS: This study evaluated longitudinal Medical Expenditures Panel Survey data (data pooled for survey calendar years 2000-2006). Comparisons were made between adult Medical Expenditures Panel Survey respondents identified as having a back pain condition (n = 10 194) compared with those without back pain but with other health condition (n = 45 541) and those with no back pain and no other condition (n = 5497). RESULTS: Compared with individuals with no health problems, those with back pain were almost 8 times more likely (odds ratio, 7.8; P < .001) to report having a USC, and those with other health problems besides back pain were 5 times more likely (odds ratio, 5.4; P < .001). For those with a USC, individuals with back pain and those with other problems but not back pain were both approximately one-and-a-half times more likely than those without any health problems to report a specific provider type as their USC (P < .001). CONCLUSION: Study findings suggest that relatively healthy adults without back pain are less likely to have a USC than those with back pain or other health problems.