Hospital and Ambulatory Service Use by the Urban Elderly Under Different Health Care Delivery Systems

For a sample of elderly persons living in an urban community, patterns of use of health-care services varied according to whether or not respondents identified one of three fee-for-service delivery systems as their primary source of care: a hospital, a private physician, or a medical group practice. Differences in utilization patterns persisted even when population health and socioeconomic characteristics were controlled, and are attributable either to differences in system structure or to the population's behavioral response to these systems of care. As expected, the health variables, as well as whether or not persons had a source of care, were the most important factors in explaining aggregate inpatient and ambulatory care visits. In addition, particular sources of care and socioeconomic variables were significant in explaining duration of time spent in hospital and types of ambulatory care visits. Policy implications of these and related findings are discussed

Ambulatory · Ambulatory care · Environmental health · Family medicine · Health care · Population · Socioeconomic status · Geriatric Care and Nursing Homes · Global Health Care Issues · Healthcare Policy and Management · Medicine · Gerontology

• A Panel Study of Life Stress, Social Support, and the Health Services Utilization of Older Persons

  Michael A Counte, Gerald L Glandon•Medical Care•1991

  Añadir item

• Association between Primary Care Utilization and Emergency Room or Hospital Inpatient Services Utilization among the Middle-Aged and Elderly in a Self-Referral System

  Open Access•Siman Yang, Mengping Zhou et al.•International Journal of…•2022

  Añadir item

• Patterns of Stability and Change in Health Service Use among Elderly People

  Open Access•Cynthia Thomas, Howard R Kelman•Journal of Aging and Health•1991

  Añadir item

• Cognitive impairment and mortality in older community residents

  Howard R Kelman, Cate Thomas et al.•American Journal of Public Health•1994

  Añadir item

• Longitudinal patterns of formal and informal social support in an urban elderly population

  Open Access•Howard R Kelman, Cynthia Thomas et al.•Social Science & Medicine•1994

  Añadir item

• Societal and Individual Determinants of Medical Care Utilization in the United States

  Open Access•Ronald Andersen, John F Newman•Milbank Quarterly•2005

  Añadir item

• Longer Life but Worsening Health? Trends in Health and Mortality of Middle-Aged and Older Persons

  Lois M Verbrugge•The Milbank Memorial Fund…•1984

  Añadir item

• Mode of Payment as a Predictor of Health Status, Use of Health Services and Preventive Health Behavior

  Alfred C Marcus•Medical Care•1981

  Añadir item

• The Importance of Type of Usual Source of Care for Children??s Physician Access and Expenditures

  Judith D Kasper•Medical Care•1987

  Añadir item

• Correlates of Physician Utilization

  David Mechanic•Journal of Health and Social…•1979

  Añadir item

• The Effect of Income on Use of Preventive Care

  Thomas G Rundall, John R C Wheeler•Journal of Health and Social…•1979

  Añadir item

• Assessing the Effects of Predisposing, Enabling, and Illness-Morbidity Characteristics on Health Service Utilization

  Frederic D Wolinsky•Journal of Health and Social…•1978

  Añadir item