Health Care Access

JOURNAL ARTICLE

To Discharge or Not to Discharge, Ethics of Care for an Undocumented Immigrant — Jan 1, 1995

Recent debate over undocumented immigrants access to health care has centered on cost, but often ignores the ethical dilemma presented to providers, who are divided between their duty to the patients welfare and their role as gatekeeper in the distribution of society's health care resources.

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• Health and Health Care Research Area

JOURNAL ARTICLE

Nonfinancial Barriers to Care for Children and Youth — Jan 1, 1995

Children and youth face special nonfinancial barriers to care. This article suggests that, while public health and medical care interventions have produced dramatic changes in the health of U.S. children, newly recognized forms of morbidity, such as behavioral and learning disorders and child abuse and neglect, have taken their place.

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JOURNAL ARTICLE

How will changes in health insurance tax policy and employer health plan contributions affect access to health care and health care costs? — Jan 1, 1994

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JOURNAL ARTICLE

The Potential Role of Ophthalmology as an Entry Point to the Healthcare System — Jan 1, 1994

Presents the results of a survey given to 214 patients at a tertiary eye care institute about their non-ophthalmologist physicians.

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JOURNAL ARTICLE

The MOS 36-Item Short-Form Health Survey (SF-36): Tests of Data Quality, Scaling Assumptions, and Reliability Across Diverse Patient Groups — Jan 1, 1994

These findings support the use of the SF-36 survey across the diverse populations studied and identify population groups in which use of standardized health status measures may or may not be problematic.

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JOURNAL ARTICLE

Access to Infant Immunizations for Poor, Inner-City Families: What Is the Impact of Managed Care? — Jan 1, 1994

Looks at the impact of managed care in terms of access to infant immunizations for poor, inner-city families.

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REPORT

Prenatal and Obstetric Care in Los Angeles County, 1990 — Jan 1, 1993

This report describes baseline data drawn from vital statistics for the year before the intervention and describes a strategy for evaluating data collected as part of that project, according to an extensive set of comparisons of participating hospitals to (1) all of the Los Angeles County, (2) women delivering who reside in the hospital’s own catchment areas but deliver at nonparticipating hospitals, and (3) women delivering at other…

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REPORT

Health Insurance and Access to Medical Services: A Secondary Analysis of Three Years of NCHS Health Interview Surveys — Jan 1, 1993

This analysis shows that persons in the United States without health insurance experience barriers to access to medical services, both ambulatory care and hospitalization.

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JOURNAL ARTICLE

Racial Differences in the Elderly's Use of Medical Procedures and Diagnostic Tests — Jan 1, 1993

The authors conclude that there are pervasive racial differences in the use of medical services by elderly Americans that cannot be explained by differences in the prevalence of specific clinical conditions. Financial barriers to care do not fully account for these findings. Race may exacerbate the impact of other barriers to access.

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• Population and Aging Research Area

JOURNAL ARTICLE

Effects of the Relative Fee Structure on the Use of Surgical Operations — Jan 1, 1993

The theory suggests an empirical test of whether surgeons create demand for surgery.

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• Health and Health Care Research Area

JOURNAL ARTICLE

Would Eliminating Differences in Physician Practice Style Reduce Geographic Variations in Cataract Surgery Rates? — Jan 1, 1993

This study uses Medicare physician-claims data to examine patient and physician contributions to variations in cataract surgery rates across U.S. metropolitan areas.

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• Health and Health Care Research Area

JOURNAL ARTICLE

Explaining the Association Between Surgeon Supply and Utilization — Jan 1, 1992

This study uses Medicare enrollment and physician claims data to examine the effect of surgeon supply on the demand for surgeons' services.

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• Health and Health Care Research Area

JOURNAL ARTICLE

The Health Care Resource Allocation Debate: Defining Our Terms — Jan 1, 1991

The problem of health care distribution in the United States demands immediate action.

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• Health and Health Care Research Area

JOURNAL ARTICLE

Barriers to Medical Care for Homeless Families Compared with Housed Poor Families — Jan 1, 1991

Findings suggest that homeless families have greater problems of access to health care than other poor families, related to lack of insurance, lack of a regular primary care provider, and other barriers. Programs to address these barriers for homeless families are presented.

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• Health and Health Care Research Area

JOURNAL ARTICLE

Quality of Care Before and After Implementation of the DRG-based Prospective Payment System: A Summary of Effects — Jan 1, 1990

In this article the authors report on a mortality analysis, patient and hospital subgroup comparisons, and time series studies they have conducted in an attempt to determine whether changes in quality of care can be linked causally to the introduction of the prospective payment system.

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• Research Brief

JOURNAL ARTICLE

Changes in Sickness at Admission Following the Introduction of the Prospective Payment System — Jan 1, 1990

The authors developed disease-specific measures of sickness at admission based on medical record data to study mortality of Medicare patients with one of five conditions (congestive heart failure, acute myocardial infarction, cerebrovascular accident, pneumonia, and hip fracture).

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• Research Brief
• Health and Health Care Research Area

JOURNAL ARTICLE

Variations in the Use of Medical and Surgical Services By the Medicare Population — Jan 1, 1986

The authors measured geographic differences in the use of medical and surgical services during 1981 by Medicare beneficiaries (age greater than or equal to 65) in 13 large areas of the United States.

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• Population and Aging Research Area

REPORT

An overview of rural health care research — Jan 1, 1978

Reviews rural health research and evaluation with emphasis on access, manpower and financing. Although rural populations have less access to care, ability to quantify the extent is underdeveloped. Despite a variety of rural health care programs ther...

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PEOPLE

Hamad Al-Ibrahim

Research Project Manager
M.D., Royal College of Surgeons, Ireland

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PEOPLE

Laura Brereton

Analyst
M.Sc. in public health, London School of Hygiene and Tropical Medicine; B.Sc. in communication, Boston University

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