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Delays and Unmet Need for Health Care among Adult Primary Care Patients in a Restructured Urban Public Health System

Author

Listed:
  • Diamant, A.L.
  • Hays, R.D.
  • Morales, L.S.
  • Ford, W.
  • Calmes, D.
  • Asch, S.
  • Duan, N.
  • Fielder, E.
  • Kim, S.
  • Fielding, J.
  • Sumner, G.
  • Shapiro, M.F.
  • Hayes-Bautista, D.
  • Gelberg, L.

Abstract

Objectives. We estimated the prevalence and determinants of delayed and unmet needs for medical care among patients in a restructured public health system. Methods. We conducted a stratified cross-sectional probability sample of pri-mary care patients in the Los Angeles County Department of Health Services. Face-to-face interviews were conducted with 1819 adult patients in 6 languages. The response rate was 80%. The study sample was racially/ethnically diverse. Results. Thirty-three percent reported delaying needed medical care during the preceding 12 months; 25% reported an unmet need for care because of competing priorities; and 46% had either delayed or gone without care. Conclusions. Barriers to needed health care continue to exist among patients receiving care through a large safety net system. Competing priorities for basic necessities and lack of insurance contribute importantly to unmet health care needs.

Suggested Citation

  • Diamant, A.L. & Hays, R.D. & Morales, L.S. & Ford, W. & Calmes, D. & Asch, S. & Duan, N. & Fielder, E. & Kim, S. & Fielding, J. & Sumner, G. & Shapiro, M.F. & Hayes-Bautista, D. & Gelberg, L., 2004. "Delays and Unmet Need for Health Care among Adult Primary Care Patients in a Restructured Urban Public Health System," American Journal of Public Health, American Public Health Association, vol. 94(5), pages 783-789.
    • Handle: RePEc:aph:ajpbhl:2004:94:5:783-789_7
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    Cited by:

    1. Allin, Sara & Grignon, Michel & Le Grand, Julian, 2010. "Subjective unmet need and utilization of health care services in Canada: What are the equity implications?," Social Science & Medicine, Elsevier, vol. 70(3), pages 465-472, February.
    2. Jatrana, Santosh & Crampton, Peter, 2009. "Primary health care in New Zealand: Who has access?," Health Policy, Elsevier, vol. 93(1), pages 1-10, November.
    3. Evelina Pappa & Nick Kontodimopoulos & Angelos Papadopoulos & Yannis Tountas & Dimitris Niakas, 2013. "Investigating Unmet Health Needs in Primary Health Care Services in a Representative Sample of the Greek Population," IJERPH, MDPI, vol. 10(5), pages 1-11, May.
    4. Suyon Baek & Eun-Hi Choi & Jungeun Lee, 2020. "Unmet Healthcare Needs of Children in Vulnerable Families in South Korea: Finding from the Community Child Center Child Panel Survey," IJERPH, MDPI, vol. 17(21), pages 1-14, November.
    5. Lee, Amanda A. & James, Aimee S. & Hunleth, Jean M., 2020. "Waiting for care: Chronic illness and health system uncertainties in the United States," Social Science & Medicine, Elsevier, vol. 264(C).
    6. Park, Sojung & Kim, BoRin & Kim, Soojung, 2016. "Poverty and working status in changes of unmet health care need in old age," Health Policy, Elsevier, vol. 120(6), pages 638-645.
    7. Jens Detollenaere & Lise Hanssens & Veerle Vyncke & Jan De Maeseneer & Sara Willems, 2017. "Do We Reap What We Sow? Exploring the Association between the Strength of European Primary Healthcare Systems and Inequity in Unmet Need," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-13, January.
    8. Jianyun Wang & Yaolin Pei & Renyao Zhong & Bei Wu, 2020. "Outpatient Visits among Older Adults Living Alone in China: Does Health Insurance and City of Residence Matter?," IJERPH, MDPI, vol. 17(12), pages 1-12, June.
    9. Cruz, Taylor M., 2014. "Assessing access to care for transgender and gender nonconforming people: A consideration of diversity in combating discrimination," Social Science & Medicine, Elsevier, vol. 110(C), pages 65-73.

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