The effect of health insurance coverage and the doctor-patient relationship on health care utilization in high poverty neighborhoods
| Autor: | Marcus Mitchell, Andrea Hudson, Kenneth Hudson, Destini A. Smith, Marcellus Hudson, Alan Akira, Errol D. Crook |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
lcsh:Medicine
Health Informatics Disease Odds 03 medical and health sciences 0302 clinical medicine Health insurance Preventative care Diabetes mellitus Environmental health Health care medicine 030212 general & internal medicine Socioeconomic status 030505 public health business.industry Minority health lcsh:R 1. No poverty Public Health Environmental and Occupational Health Regular Article medicine.disease Health equity 3. Good health Usual provider Hypertension Screening Doctor–patient relationship Cluster sampling Health disparities 0305 other medical science business |
| Zdroj: | Preventive Medicine Reports Preventive Medicine Reports, Vol 7, Iss C, Pp 158-161 (2017) |
| ISSN: | 2211-3355 |
| Popis: | African Americans have higher rates of mortality than whites who are the same age and sex. We hypothesize that in low socioeconomic status neighborhoods, having health insurance coverage and a regular health care provider increases the likelihood of receiving diagnostic tests for cardiovascular disease and diabetes. We use data from a random two-stage cluster sample of 230 adults living in high poverty census tracts to examine the effects of insurance coverage and having a regular doctor on the likelihood receiving diagnostic tests for high cholesterol, high blood sugar, and blood pressure. We find that health insurance coverage increases the odds of having a regular health care provider (p Highlights • The effect of health insurance on testing for cardiovascular disease is examined. • Health insurance increases the odds of being tested. • Having a regular health care provider mediates the effect of insurance on testing. • The mediation is greatest when the patient can report the doctor's name. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|