| Titre : | Unmet health needs of uninsured adults in the United States. (2000) |
| Auteurs : | John-Z AYANIAN ; Jack-A GINSBURG ; Eric-C Schneider ; Joel-S WEISSMAN ; Alan-M ZASLAVSKY ; Department of Health Care Policy. Harvard Medical School. Boston. MA. USA ; Division of General Medicine and Primary Care. Department of Medicine. Brigham and Women's Hospital. Boston. MA. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 284, n° 16, 2000) |
| Pagination : | 2061-2069 |
| Langues: | Anglais |
| Mots-clés : | Soins santé primaire ; Assurance maladie ; Etats Unis ; Amérique ; Besoin ; Homme ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST R0xKSbO0. Diffusion soumise à autorisation]. Context In 1998,33 million US adults aged 18 to 64 years lacked health insurance. Determining the unmet health needs of this population may aid efforts to improve access to care. Objective To compare nationally representative estimates of the unmet health needs of uninsured and insured adults, particularly among persons with major health risks. Design and Setting Random household telephone survey conducted in all 50 states and the District of Columbia through the Behavioral Risk Factor Surveillance System. Participants A total of 105764 adults aged 18 to 64 years in 1997 and 117364 in 1998, classified as long-term (>=1 year) uninsured (9.7%), short-term (<1 year) uninsured (4.3%), or insured (86.0%). Main Outcome Measures Adjusted proportions of participants who could not see a physician when needed due to cost in the past year, had not had a routine checkup within 2 years, and had not received clinically indicated preventive services, compared by insurance status. Results Long-term-and short-term-uninsured adults were more likely than insured adults to report that they could not see a physician when needed due to cost (26.8%, 21.7%, and 8.2%, respectively), especially among those in poor health (69.1%, 51.9%, and 21.8%) or fair health (48.8%, 42.4%, and 15.7%) (P<. 001). Long-term-uninsured adults in general were much more likely than short-term-uninsured and insured adults not to have had a routine checkup in the last 2 years (42.8%, 22.3%, and 17.8% respectively) (...) |
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