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  1. Fulltext. The timing of preventive services for women and children : The effect of having a usual source of care.

    Article - En anglais

    Fulltext.

    Objectives

    This study investigated the causal effect of having a usual source of medical care on the timing of preventive services by women and children.

    Methods

    Data on-17110 children and 23 488 women from the 1988 and 1990 National--Health interview Surveys were used to estimate ordered probit models of the effect of having a usual source of medical care on the time since the last receipt of each preventive service (routine checkups for children, blood pressure checks, Pap smears, and breast exams for adult women ; mammograms for older women).

    Two-stage instrumental variables methods were used to eliminate simultaneity bias.

    Results

    The existence of a usual source of medical care was strongly correlated with the earlier receipt of preventive services, and the relationship appears to be causal for Pap smears, breast exams, and mammograms.

    However, there was little evidence that having a regular provider caused an increased rate of routine checkups for children or blood pressure checks for adult women.

    Conclusions

    Delivery systems that encourage the development of long-term relationships with-medidal providers may increase cancer screening rates among women.

    Mots-clés Pascal : Utilisation, Service santé, Prévention, Enfant, Homme, Femme, Relation médecin malade, Longue durée, Interaction sociale, Système santé, Etats Unis, Amérique du Nord, Amérique, Continuité soins

    Mots-clés Pascal anglais : Use, Health service, Prevention, Child, Human, Woman, Physician patient relation, Long lasting, Social interaction, Health system, United States, North America, America

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

    Cote : 97-0152666

    Code Inist : 002B30A01B. Création : 21/05/1997.