SOCIAL SCIENCE AND MEDICINE, vol. 39, n° 1, 1994, pages 95-104, 36 réf., ISSN 0277-9536, USA
BURGESS (J.JR), DEFIORE (D.A.)
Dep veterans affairs. Management sci group. Belfort MA. USA
The 1987 survey of Veterans is used to explain the effects of distance to VA facilities on the choice and level of utilization of VA outpatient services by U.S. veterans.
A two part discrete/continuous model is used to separate two elements of the decision to seek outpatient services from federally operated VA facilities.
First, a discrete choice is made to seek care from the VA.
Second, a continuous choice is made to seek a particular level of utilization.
Distance is found to affect the initial discrete choice significantly for measured distances up to 60 miles at a decreasing rate.
Once some VA outpatient contact is made, distance is a major factor only for the elderly in determining the amount of utilization.
Mots-clés BDSP : Système santé, Service soins & consultation, Homme, Distance, Utilisation service, Etats Unis, Amérique
Mots-clés Pascal : Système santé, Accessibilité, Service santé, Ambulatoire, Ancien combattant, Homme, Distance, Choix, Utilisation, Modèle statistique, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Health system, Accessibility, Health service, Ambulatory, Veteran, Human, Distance, Choice, Use, Statistical model, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0459358
Code Inist : 002B30A01B. Création : 199406.