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  1. Fulltext. Health services access and use among older adults in North Carolina urban vs rural residents.

    Article - En anglais

    Fulltext.

    Objectives

    This study compared health service use and satisfaction with health care among older adults living in urban vs rural counties in North Carolina.

    Methods

    A stratified random sample of 4162 residents of one urban and four rural counties of North Carolina was surveyed to determine urban/rural variation in inpatient and outpatient health service use, continuity of care and satisfaction with care, and barriers (transportation, cost) to care.

    Results

    Inpatient and outpatient service use did not vary by residence in controlled analyses.

    Continuity of care was more frequent in rural counties.

    Transportation was not perceived as a barrier to health care more frequently in rural than in urban counties, but cost was a greater barrier to care among rural elderly people.

    Conclusions

    In this sample, older persons living in rural counties within reasonable driving distance of urban counties with major medical centers used health services as frequently and were as satisfied with their health care as persons in urban counties.

    Cost of care, however, was a significant and persistent barrier among rural elderly people, despite Medicare coverage.

    Mots-clés Pascal : Accessibilité, Service santé, Soin, Utilisation, Satisfaction, Vieillard, Caroline du Nord, Milieu rural, Milieu urbain, Etude comparative, Système santé, Homme, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Accessibility, Health service, Care, Use, Satisfaction, Elderly, North Carolina, Rural environment, Urban environment, Comparative study, Health system, Human, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0554319

    Code Inist : 002B30A01B. Création : 01/03/1996.