This study examined the relationship between access and use of primary care physicians as sources of first contact and continuity with the medical system.
Data from the 1987 National Medical Expenditure Survey were used to examine the effects of access on use of primary care physicians as sources of first contact for new episodes of care (by logistic regression) and a sources of continuity for all ambulatory visits (by multi-variate linear regression).
No after-hours care, longer officer waits, and longer travel times reduced the chances of a first-contact visit with a primary care physician for acute health problems.
Longer appointment waits, no insurance, and no after-hours care were associated with lower levels of continuity.
Generalists provided more first-contract care than specialists acting as primary care physicians, largely because of their more accessible practices.
These data provide support for the linkage between access and care seeking with primary care physians.
Mots-clés Pascal : Médecin, Soin santé primaire, Service santé, Qualité, Epidémiologie, Accessibilité, Utilisation, Evaluation, Homme, Etats Unis, Amérique du Nord, Amérique, Système santé
Mots-clés Pascal anglais : Physician, Primary health care, Health service, Quality, Epidemiology, Accessibility, Use, Evaluation, Human, United States, North America, America, Health system
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0440973
Code Inist : 002B30A01B. Création : 25/01/1999.