| Titre : | Delays and unmet need for Health care among adult primary care patients in a restructured urban public Health system. (2004) |
| Auteurs : | Allison-L DIAMANT ; Steven ASCH ; Daphne Calmes ; Naihua DUAN ; Eve FIELDER ; Jonathan FIELDING ; Wesley FORD ; Lillian GELBERG ; David HAYES-BAUTISTA ; Ron-D HAYS ; Leo-S MORALES ; . SEHYUN KIM ; Martin-F SHAPIRO ; Gerald SUMNER ; Ucla Division of General Internal Medicine and Health Services Research. Los Angeles. CA. USA ; Ucla Institute for Social Sciences Research. Los Angeles. CA. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 94, n° 5, 2004) |
| Pagination : | 783-789 |
| Langues: | Anglais |
| Mots-clés : | Besoin santé ; Besoin ; Soins santé primaire ; Adulte ; Homme ; Milieu urbain ; Système santé ; Soins ; Etat santé ; Entretien ; Etats Unis ; Amérique ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS Dg98OR0x. Diffusion soumise à autorisation]. 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 primary 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. |
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