The medically vulnerable: Their health risks, health status, and use of physician care

Journal of Health Care for the Poor and Underserved

Volumn 10, Issue 2, 1999, Pages 186-200

  Broyles, Robert W ^a   McAuley, William J ^a   Baird Holmes, Diane ^b  

^a UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER   (United States)

^b Human Resources Service   (United States)

Author keywords

Health risks; Health status; Medically vulnerable; Physician care utilization; Uninsured

Indexed keywords

ADULT; AGED; ARTICLE; ATTITUDE TO HEALTH; EPIDEMIOLOGY; FEMALE; HEALTH BEHAVIOR; HEALTH SERVICE; HEALTH STATUS; HEALTH SURVEY; HUMAN; MALE; MIDDLE AGED; PATIENT; PATIENT ATTITUDE; POVERTY; PSYCHOLOGICAL ASPECT; RISK FACTOR; STATISTICS; UNITED STATES; UTILIZATION REVIEW;

ADULT; AGED; FEMALE; HEALTH BEHAVIOR; HEALTH CARE SURVEYS; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HEALTH SERVICES; HEALTH STATUS; HEALTH SURVEYS; HUMANS; MALE; MEDICALLY UNINSURED; MIDDLE AGED; OKLAHOMA; PATIENT ACCEPTANCE OF HEALTH CARE; POVERTY; RISK FACTORS;

EID: 0033128746     PISSN: 10492089     EISSN: None     Source Type: Journal    
DOI: 10.1353/hpu.2010.0498     Document Type: Article

References (43)

1. Cornelius L, Beauregard K, Cohen J. Usual sources of medical care and their characteristics. In: National Medical Expenditures Survey research findings 11. Rockland, MA: Study for Health Care Policy Research, U.S. Department of Health and Human Services, 1991.
2. Monheit AC. Underinsured Americans: A review. Annu Rev Public Health 1994;15:461-85.
3. Shroeder SA. The medically uninsured: Will they always be with us? N Engl J Med 1966;334(17):1130-33.
4. Bindman AB, Grumbach K, Osmond D, et al. Preventable hospitalization and access to health care. JAMA 1995 Jul 26;274(4):305-11.
5. Donelean K, Blendon RJ, Hill CA, et al. Whatever happened to the health insurance crisis in the United States? Voices from a national survey. JAMA 1996 Oct 23-30;276(16):1346-50.
6. Lohr KN, Brook RH, Kamberg CJ, et al. Effects of cost sharing on the use of medically effective and less effective care. Med Care 1986;24(9 Suppl):S31-38.
7. Wagstaff A. The demand for health: Theory and applications. J Epidemiol Community Health 1986 Mar;40(1):1-11.
8. Muurinen JM, Le Grand J. The economic analysis of inequalities in health. Soc Sci Med 1985;20(10):1029-35.
9. Andersen R. A behavior model of families' use of health services. Research series 25. Chicago: Center for Health Administration Studies, University of Chicago, 1968.
10. Andersen R, Neuman JF. Societal and individual determinants of medical care utilization in the United States. Milbank Mem Fund Q Health Soc 1973 Winter;51(1):95-124.
11. Bograd H, Ritzwoller DP, Calonge N, et al. Extending health maintenance organization insurance to the uninsured. A controlled measure of health care utilization. JAMA 1997 Apr 2;277(13):1067-72.
12. Hendershot GE. Health status and medical care utilization. Health Aff (Millwood) 1988 Spring;7(1):114-21.
13. McNeil JM. The effect of health insurance coverage on doctor and hospital visits: 1990 to 1992. In: Current population reports, household economic studies (USDC Pub. No. P-79-33). Washington, DC: U.S. Department of Commerce, Economics and Statistics Administration, Bureau of the Census, 1995.
14. American Academy of Pediatrics' Periodic Survey #3. Washington, DC: American Academy of Pediatrics, 1988.
15. Dawber TR. The Farmingham Study: The epidemiology of atherosclerotic disease. Cambridge, MA: Harvard University Press, 1980.
16. Detection and Follow-up Program Cooperative Group. Persistence of reduction in blood pressure and mortality of participants in the Hypertension Detection and Follow-up Program. JAMA 1988 Apr 8;259(14):2113-22.
17. LaPlante MP. Data on disability from the National Health Interview Survey, 1983-85. An infouse report (USNIDS Pub. No. 88-9216). Washington, DC: U.S. National Institute on Disability and Rehabilitation, 1988.
18. National Center for Health Statistics. Health United States, 1989 (DHHS Pub No. [PHS]90-1232). Hyattsville, MD: Department of Health and Human Services, 1990.
19. National Heart, Lung, and Blood Institute. The 1988 Report of the Joint National Committee on detection, evaluation and treatment of high blood pressure (DHHS Pub. No. PHS 88-1519). Washington, DC: U.S. Department of Health and Human Services, 1988.
20. Office on Smoking and Health. Reducing the health consequences of smoking: 25 years of progress. A Report of the Surgeon General (DHHS Pub. no. [CDC]89-8411). Washington, DC: U.S. Department of Health and Human Services, 1989.
21. Rice DP, LaPlante MP. Chronic illness, disability and increasing longevity. In: Sullivan S, Luam ME, eds. The economics and ethics of long-term care and disability. Washington, DC: American Enterprise Institute for Public Policy Research, 1988.
22. Butler MA, Beale CL. Rural-urban continuum codes for metro and nonmetro counties, 1993 (USDA Pub. No. [AGES]9425). Washington, DC: Agriculture and Rural Economy Division, Economic Research Service, U.S. Department of Agriculture, 1994.
23. Hafner-Eaton C. Physician utilization disparities between the uninsured and insured: Comparisons of the chronically ill, acutely ill and well nonelderly populations. JAMA 1993 Feb 10;269(6):787-92.
24. Freeman HE, Corey CR. Insurance status and access to health services among poor persons. Health Serv Res 1993 Dec;28(5):531-41.
25. Mueller KJ, Kashinath P, Ullrich F. Lengthening spells of uninsurance and their consequences. J Rural Health 1997;13(1):29-37.
26. Weissman JS, Gatsonis C, Epstein AM. Rates of avoidable hospitalization by insurance status in Massachusetts and Maryland. JAMA 1992 Nov 4;268(17):2388-94.
27. Hadley J, Langwell K. Managed care in the United States. Health Policy 1991;19(7):91-118.
28. Millman M. Access to personal health care in America. Report of the Committee on Monitoring Access to Personal Health Care Services. Washington, DC: Institute of Medicine, National Academy Press, 1993.
29. Wolinsky FD, Mosely RR II, Coe RM. A cohort analysis of the use of health services by elderly Americans. J Health Soc Behav 1986 Sep;27(3):209-19.
30. Glandon GL, Counte MA, Tancredi D. An analysis of physician utilization by elderly persons: Systematic differences between self-report and archival information. J Gerontol 1992 Sep;47(5):S245-52.
31. Rice T, Morrison KR. Patient cost sharing for medical services: A review of the literature and implications for health care reform. Med Care Rev 1994;51(3):235-87.
32. Brian EW, Gibbens SF. California's Medi-Cal copayment experiment. Med Care 1974 Dec;12(12 suppl):1-303.
33. Fischer PJ, Strobino DM, Pinckney CA. Utilization of child health clinics following introduction of a copayment. Am J Public Health 1984 Dec;74(12):1401-3.
34. Helms JJ, Newhouse JP, Phelps CE. Copayments and demand for medical care: The California Medicaid experience. Bell J Economics 1978;9(12):192-208.
35. Roemer MI, Hopkins CE, Carr L, et al. Copayments for ambulatory care: Penny-wise and pound foolish. Med Care 1975 Jun;13(6):457-66.
36. Rice T, Thomas K. Evaluating the new Medigap standardization regulations. Health Aff (Millwood) 1992 Spring;11(1):194-207.
37. Cartwright DC, Hu TW, Huang LF. Impact of varying medigap insurance coverage on the use of medical services by the elderly. Appl Econ 1992;24:529-39.
38. McCall N, Rice T, Boismier J, et al. Private health insurance and medical care utilization: Evidence from the Medicare population. Inquiry 1991 Fall;28(3):276-87.
39. Christensen S, Long SH, Rodgers J. Acute health care costs for the aged Medicare population: Overview and policy options. Milbank Q 1987;65(3):397-425.
40. Taylor AK, Short PF, Horgan, CM. Medigap insurance: Friend or foe in reducing Medicare deficits? In: Frech HE, ed. Health care in America. San Francisco: Pacific Research Institute for Public Policy, 1988.
41. Nguyen NX, Derrick FW. Physician behavioral response to a Medicare price reduction. Health Serv Res 1997 Aug;32(3):283-98.
42. Evans RG. Supplier induced demand: Some empirical evidence and implications. In: Perlman M, ed. The economics of health and medical care. New York: John Wiley, 1974.
43. Wilensky G, Rossiter L. The magnitude and determinants of physician-initiated visits in the United States. In: vander Gagg J, Perlman M, eds. Health, economics and health economics. Amsterdam: North-Holland, 1981.