Arthritis health service utilization among the elderly : The role of urban-rural residence and other utilization factors.
To compare the impact of urban-rural residence and other factors on the utilization of any type of arthritis-related physician care and on rheumatologist utilization.
A population-based random sample of adults 65 years of age or older with self-reported arthritis from 10 urban and 12 rural Iowa counties were surveyed by telephone interview.
We estimated the arthritis prevalence and health service utilization in this sample and evaluated the effects of predisposing, enabling, and need factors on utilization and satisfaction.
Health care utilization was defined as ever having visited specific types of providers for arthritis-related care.
A total of 488 individuals participated : 227 from urban counties and 261 rural respondents.
Urban respondents more commonly reported having received a diagnosis of osteoarthritis from their physicians but were less likely to report rheumatoid arthritis.
A greater proportion of urban versus rural respondents had utilized any physician for arthritis care (50.7% versus 41.0%, P=0.032) and had more often seen an orthopedist (18.1% versus 9.6%, P=0.006) or general internist (18.5% versus 8.8%, P=0.002).
A diagnosis of rheumatoid arthritis, younger age, living with another person, higher income, and further distance from an arthritis provider were significantly associated with prior rheumatologist utilization. (...)
Mots-clés Pascal : Arthropathie, Utilisation, Service santé, Epidémiologie, Etude comparative, Milieu rural, Milieu urbain, Diagnostic, Traitement, Rhumatologie, Spécialité médicale, Médecine générale, Vieillard, Homme, Système ostéoarticulaire pathologie
Mots-clés Pascal anglais : Arthropathy, Use, Health service, Epidemiology, Comparative study, Rural environment, Urban environment, Diagnosis, Treatment, Rheumatology, Medical specialty, Internal medicine, Elderly, Human, Diseases of the osteoarticular system
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0322073
Code Inist : 002B30A05. Création : 27/11/1998.