Delays and unmet need for health care among adult primary care patients in a restructured urban public health system.
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| Title: | Delays and unmet need for health care among adult primary care patients in a restructured urban public health system. |
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| Authors: | Diamant AL (AUTHOR), Hays RD (AUTHOR), Morales LS (AUTHOR), Ford W (AUTHOR), Calmes D (AUTHOR), Asch S (AUTHOR), Duan N (AUTHOR), Fielder E (AUTHOR), Kim S (AUTHOR), Fielding J (AUTHOR), Sumner G (AUTHOR), Sharpio MF (AUTHOR), Hayes-Bautista D (AUTHOR), Gelberg L (AUTHOR) |
| Source: | American Journal of Public Health. May2004, Vol. 94 Issue 5, p783-789. 7p. |
| Subjects: | Primary care, Patients, Medical care for older people, Medical care, Geriatrics |
| Abstract: | Objectives. We estimated the prevalence and determinants of delayed and unmet needs for medical care among patients in a restructured public health system. Methods. We conducted a stratified cross-sectional probability sample of primary care patients in the Los Angeles County Department of Health Services. Face-to-face interviews were conducted with 1819 adult patients in 6 languages. The response rate was 80%. The study sample was racially/ethnically diverse. Results. Thirty-three percent reported delaying needed medical care during the preceding 12 months; 25% reported an unmet need for care because of competing priorities; and 46% had either delayed or gone without care. Conclusions. Barriers to needed health care continue to exist among patients receiving care through a large safety net system. Competing priorities for basic necessities and lack of insurance contribute importantly to unmet health care needs. (Am J Public Health. 2004;94:783-789). [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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