Determinants of general practitioner use among women in Australia.

作者: Anne F Young , Annette J Dobson , Julie E Byles

DOI: 10.1016/S0277-9536(00)00449-4

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摘要: This study investigates the use of general practitioner services by women in Australia. Although there is a universal health insurance system (Medicare) Australia, are variations access to and out pocket costs for services. Survey data from 2350 mid-age (45-50 years) 2102 older (70-75 participating Australian Longitudinal Study on Women's Health were linked with Medicare provide range individual contextual variables hypothesised explain use. Structural equation modelling showed that physical was most powerful explanatory factor However, after adjusting self-reported health, cost per consultation inversely associated The generally lower low socioeconomic status but also directly related geographical remoteness. Women living more remote areas had higher poorer who reported better care likely be satisfied their recent practice less sceptical value medical care. These results show need policies improve equitable

参考文章(28)
K A Phillips, R Andersen, K R Morrison, L A Aday, Understanding the context of healthcare utilization: assessing environmental and provider-related variables in the behavioral model of utilization. Health Services Research. ,vol. 33, pp. 571- 596 ,(1998)
L Aday, R Anderson, A framework for the study of access to medical care. Health Services Research. ,vol. 9, pp. 208- 220 ,(1974)
RONALD ANDERSEN, JOHN F. NEWMAN, Societal and Individual Determinants of Medical Care Utilization in the United States Milbank Quarterly. ,vol. 83, pp. 95- 124 ,(1973) , 10.1111/J.1468-0009.2005.00428.X
M Gold, Beyond coverage and supply: measuring access to healthcare in today's market. Health Services Research. ,vol. 33, pp. 625- ,(1998)
Kevin Fiscella, Peter Franks, Carolyn M. Clancy, Skepticism toward medical care and health care utilization. Medical Care. ,vol. 36, pp. 180- 189 ,(1998) , 10.1097/00005650-199802000-00007
Knut Fylkesnes, Determinants of Health Care Utilization — Visits and Referrals Scandinavian journal of social medicine. ,vol. 21, pp. 40- 50 ,(1993) , 10.1177/140349489302100107
J. Reneé Robinson, T. Kue Young, Leslie L. Roos, Dale E. Gelskey, ESTIMATING THE BURDEN OF DISEASE : COMPARING ADMINISTRATIVE DATA AND SELF-REPORTS Medical Care. ,vol. 35, pp. 932- 947 ,(1997) , 10.1097/00005650-199709000-00006