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Financial, organizational and professional factors affecting health care utilization

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  • Dutton, Diana

Abstract

This paper explores the effects of specific provider and system features on patients' use health care, including financial, time and organizational barriers, practice patterns and physician characteristics. The data are from a survey of 3058 family members and their usual providers in Washington, D.C. Findings indicate that a low-income practice clientele and high charges were the most significant deterrents to use, followed by absence of Medicaid, distance, limited hours and patient-sharing by physicians. Charges and distance had a disproportionate impact on the poor. The combined impact of structural barriers in hospital outpatient departments reduced access by roughly 50% compared with private settings. Policy implications are discussed.

Suggested Citation

  • Dutton, Diana, 1986. "Financial, organizational and professional factors affecting health care utilization," Social Science & Medicine, Elsevier, vol. 23(7), pages 721-735, January.
    • Handle: RePEc:eee:socmed:v:23:y:1986:i:7:p:721-735
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    Citations

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    Cited by:

    1. Lindstrom, Martin & Axen, Elin & Lindstrom, Christine & Beckman, Anders & Moghaddassi, Mahnaz & Merlo, Juan, 2006. "Social capital and administrative contextual determinants of lack of access to a regular doctor: A multilevel analysis in southern Sweden," Health Policy, Elsevier, vol. 79(2-3), pages 153-164, December.
    2. Wanchun Xu & Zijing Pan & Shan Lu & Liang Zhang, 2020. "Regional Heterogeneity of Application and Effect of Telemedicine in the Primary Care Centres in Rural China," IJERPH, MDPI, vol. 17(12), pages 1-15, June.
    3. Eiman Jahangir & Vilma Irazola & Adolfo Rubinstein, 2012. "Need, Enabling, Predisposing, and Behavioral Determinants of Access to Preventative Care in Argentina: Analysis of the National Survey of Risk Factors," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-6, September.
    4. Jailani Anis-Syakira & Suhana Jawahir & Nurul Salwana Abu Bakar & Sarah Nurain Mohd Noh & Nurul Iman Jamalul-Lail & Normaizira Hamidi & Sondi Sararaks, 2022. "Factors Affecting the Use of Private Outpatient Services among the Adult Population in Malaysia," IJERPH, MDPI, vol. 19(20), pages 1-17, October.
    5. Spicer, Neil J., 2005. "Sedentarization and children's health: Changing discourses in the northeast Badia of Jordan," Social Science & Medicine, Elsevier, vol. 61(10), pages 2165-2176, November.
    6. Buor, Daniel, 2004. "Gender and the utilisation of health services in the Ashanti Region, Ghana," Health Policy, Elsevier, vol. 69(3), pages 375-388, September.
    7. Chukwuma, Adanna & Ekhator-Mobayode, Uche Eseosa, 2019. "Armed conflict and maternal health care utilization: Evidence from the Boko Haram Insurgency in Nigeria," Social Science & Medicine, Elsevier, vol. 226(C), pages 104-112.
    8. de Boer, Angela G. E. M. & Wijker, Wouter & de Haes, Hanneke C. J. M., 1997. "Predictors of health care utilization in the chronically ill: a review of the literature," Health Policy, Elsevier, vol. 42(2), pages 101-115, November.

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