기사
Disparities in Access to Care and Satisfaction Among U.S. Children : The Roles of Race/Ethnicity and Poverty Status /
- 개인저자
- Shi, Leiyu ;, Stevens, Gregory D.
- 수록페이지
- 431-441 p.
- 발행일자
- 2005.07.25
- 출판사
- Association of Schools of Public Health. ;Supt. of Docs., U.S. G.P.O., distributor
초록
[영문]Objectives. The study assessed the progress made toward reducing racial andethnic disparities in access to health care among U.S. children between 1996 and2000.Methods. Data are from the Household Component of the 1996 and 2000 MedicalExpenditure Panel Survey. Bivariate associations of combinations of race/ethnicityand poverty status groups were examined with four measures of access to healthcare and a single measure of satisfaction. Logistic regression was used to examinethe association of race/ethnicity with access, controlling for sociodemographicfactors associated with access to care. To highlight the role of income, we presentmodels with and without controlling for poverty status.Results. Racial and ethnic minority children experience significant deficits inaccessing medical care compared with whites. Asians, Hispanics, and blacks wereless likely than whites to have a usual source of care, health professional or doctorvisit, and dental visit in the past year. Asians were more likely than whites to bedissatisfied with the quality of medical care in 2000 (but not 1996), while blacks andHispanics were more likely than whites to be dissatisfied with the quality of medicalcare in 1996 (but not in 2000). Both before and after controlling for health insurancecoverage, poverty status, health status, and several other factors associatedwith access to care, these disparities in access to care persisted between 1996and 2000.Conclusions. Continued monitoring of racial and ethnic differences is necessary inlight of the persistence of racial/ethnic and socioeconomic disparities in access tocare. Given national goals to achieve equity in health care and eliminate racial/ethnic disparities in health, greater attention needs to be paid to the interplay ofrace/ethnicity factors and poverty status in influencing access.