Health Care Access

Contents:

Access to health care refers to the ease with which an individual can obtain needed medical services. RAND research has examined the social, cultural, economic, and geographic factors that influence health care access worldwide; the effects of changes in access; and the relationship between access and health for specific U.S. populations—including racial and ethnic minorities, people with limited English proficiency, the uninsured, the elderly, children, and veterans.

Research conducted by: RAND Health; RAND National Security Research Division; Global Health; Military Health Policy Research

All Items (284)

Journal Article

Racial and Ethnic Differences in Parents' Assessments of Pediatric Care in Medicaid Managed Care — Jan 1, 2001

This study examines whether parents' reports and ratings of pediatric health care vary by race/ethnicity and language in Medicaid managed care.

Journal Article

National Estimates of Mental Health Utilization and Expenditures for Children in 1998 — Jan 1, 2001

No recent data on expenditures and utilization are available to provide a benchmark for reform of mental health systems for children and adolescents.

Journal Article

Weighting for Period Perspective in Samples of the Homeless — Jan 1, 2001

For some sample-based studies of the homeless, it may be relevant to adopt a period perspective.

Journal Article

The Care of HIV-infected Adults in Rural Areas of the United States — Jan 1, 2001

Few American adults received HIV care in rural areas of the United States.

Journal Article

Medical Care Expenditures Under Gatekeeper and Point-of-Service Arrangements — Jan 1, 2001

Direct patient access to specialists in POS plans does not necessarily result in higher medical care expenditures.

Journal Article

Advocacy in Epidemiology and Demography — Jan 1, 2001

Summary of a panel discussion at the Conference on Epidemiology and Demography held at Georgetown University, in Washington D.C. on February 8-9, 2001

Journal Article

A Comparison of Unmet Needs for Dental and Medical Care Among Persons with HIV Infection Receiving Care in the United States — Jan 1, 2001

Oral health conditions associated with HIV disease are frequently more severe than those of the general population.

Journal Article

Use of Dental Care by HIV-infected Medical Patients — Jan 1, 2000

The intent of the present study was to establish accurate population estimates of the use of dental services by patients under medical care.

Journal Article

Prevalence and Predictors of Unmet Need for Supportive Services Among HIV-infected Persons: Impact of Case Management — Jan 1, 2000

Need and unmet need for supportive services among HIV-infected persons is high.

Journal Article

Managed Care and Unmet Need for Mental Health and Substance Abuse Care in 1998 — Jan 1, 2000

This report demonstrates the importance of defining access to care more broadly.

Journal Article

An English and Spanish Pediatric Asthma Symptom Scale — Jan 1, 2000

Pediatric asthma survey measures have not been adequately tested in non-English-speaking populations.

Journal Article

Community Effects on Access to Behavioral Health Care — Jan 1, 2000

To explore the effects of community-level factors on access to any behavioral health care and specialty behavioral health care.

Journal Article

Providing Managed Care Options for a Large Population: Evaluating the CHAMPUS Reform Initiative — Jan 1, 2000

Managed care plans for large government-sponsored insurance programs can reduce utilization and maintain patient access and satisfaction.

Journal Article

Access to Medical Care Reported By Asians and Pacific Islanders in a West Coast Physician Group Association — Jan 1, 2000

Studies need to clarify why Asians were more vulnerable to access problems examined than other ethnic groups that might experience similar barriers.

Journal Article

Access of Vulnerable Groups to Antiretroviral Therapy Among Persons in Care for HIV Disease in the United States — Jan 1, 2000

HIV-positive persons with the greatest need (defined by a low CD4 count) are most likely to have early access to HAART (suggests equitable access).

Journal Article

Strengthening the US Health Care Safety Net — Jan 1, 2000

Issue of access to health care and the goals of universal health insurance.

Journal Article

Health Behaviors, Health Status, and Access to and Use of Health Care: A Population-Based Study of Lesbian, Bisexual, and Heterosexual Women — Jan 1, 2000

Lesbians and bisexual women were more likely than heterosexual women to have poor health behaviors and worse access to health care.

Journal Article

The Impact of Terminating Disability Benefits of Substance Abusers on Substance Use and Treatment Participation — Jan 1, 2000

In March 1996 Congress terminated SSI and SSDI benefits to individuals disabled primarily by drug addiction and alcoholism.

Research Brief

Access to HIV Care: Initial Results from the HIV Cost and Services Utilization Study — Jan 1, 2000

The first study to demonstrate systemic, socioeconomic differences in access to HIV care across all regions of America.

Journal Article

Physician Perceptions of Barriers to Care for Inner-City Latino Children with Asthma — Jan 1, 1999

This article describes physician perspectives on barriers to quality primary care experienced by inner-city children with asthma.

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Researcher Spotlight

Adam C. Resnick

Operations Researcher

Adam C. Resnick

Adam Resnick is an operations researcher at the RAND Corporation. He manages research projects on issues related to military health, including U.S. Army force generation (ARFORGEN) and Army health care beneficiaries, military-community readiness, facilitating the implementation of joint medical…

Emma Pitchforth

Research Leader

Emma Pitchforth

Emma Pitchforth is a research leader at RAND Europe. Her research interests include applying social science methods and perspectives to key issues concerning the provision and experience of health care. Pitchforth has focussed largely on quality of care and users' experiences of care in diverse…

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