Document Detail


Are "medically underserved areas" medically underserved?
MedLine Citation:
PMID:  885726     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A comparison of medically underserved areas (MUAs) and adequately served areas (ASAs) is presented. Nonmetropolitan areas represented in the Health Interview Survey (HIS) are classified as MUAs or ASAs by the official criterion of their scores on the Index of Medical Underservice (IMU), and HIS data from the two types of areas are examined for differences. Standard metropolitan statistical areas are also compared with the nonmetropolitan MUAs and ASAs. Results show no difference between MUA and ASA residents in number of physician visits per year or proportion with at least one visit in the past year, although MUA residents reported poorer health status, used some preventive services less, and used nonsurgical hospitalization more than did ASA residents. In gereral, most MUA-ASA differences tend to be similar in size to differences between ASAs and SMSAs. An alternative to the IMU, using HIS data to identify underserved areas, is discussed.
Authors:
J C Kleinman; R W Wilson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Health services research     Volume:  12     ISSN:  0017-9124     ISO Abbreviation:  Health Serv Res     Publication Date:  1977  
Date Detail:
Created Date:  1977-09-29     Completed Date:  1977-09-29     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0053006     Medline TA:  Health Serv Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  147-62     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Delivery of Health Care*
Female
Health Services / supply & distribution*,  utilization
Health Surveys
Hospitalization
Humans
Male
Maternal Health Services / utilization
Middle Aged
Physicians / utilization
Pregnancy
Preventive Health Services / utilization
United States
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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