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Monitoring Health Status, Access to Health Care, and Compliance Behavior in a Large Urban Community

A Report from the Los Angeles Health Survey

Bibliographic Data

ID9097002
AuthorsAlfred C Marcus (UCLA Health, corresponding author), Leo G Reeder (UCLA Health), Lawrence A Jordan, Teresa Seeman (0000-0001-8583-4239, Berkeley Public Health Division), Teresa E Seeman
Year1980
Volume18
Issue3
Pages253-265
Publication date1980-03-01
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198003000-00001
PMID6892716
OpenAlexW2035172579
LanguageEN
Citations received10
References cited10

This article summarizes results from 2 health surveys conducted in Los Angeles County in 1974 and 1977. The original objective of this analysis was to identify aggregate changes in the health status of this population, in access as measured by the use/disability ratio, and in self-reported compliance with medical regimens. Additionally, we have suggested that this study illustrates the value of local population surveys for health policy--particularly in regard to recent Health Systems Agencies legislation. Substantial correspondence was found between the health status characteristics of both samples and national estimates, particularly for the prevalence of chronic illness. We also found a 3-year trend of increasing disability that is consisted with national data. However, unlike the national estimates, we found evidence of improved access relative to disability, and a corresponding reduction in the traditional income differential. Analysis of self-reported compliance showed little change over time, with Anglos and the middle and upper socioeconomic groups reporting less compliance with their doctors' recommendations

Compliance (psychology) · Environmental health · Health care · Legislation · Political science · Population · Socioeconomic status · Healthcare Policy and Management · Medicine · Patient Satisfaction in Healthcare · Psychology · Psychology of Social Influence · Gerontology

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

    Alfred C Marcus•Medical Care•1981

  • Racial/Ethnic Differences in Access to Health Care

    Alfred C Marcus, Jeffrey D Stone•Medical Care•1982

  • Sex Differences in the Use of Physician Services

    Alfred C Marcus, Judith M Siegel•Journal of Health and Social…•1982

  • Sex Differences in Reports of Illness and Disability

    Alfred C Marcus, Teresa Seeman et al.•Journal of Health and Social…•1981

  • The quality of life after radiation therapy

    Open Access•Patrick H Irwin, Allen Gottlieb•Social Indicators Research•1982

  • Non-participation in telephone follow-up interviews

    Alfred C Marcus, Carol Telesky et al.•American Journal of Public Health•1983

  • Memory aids in longitudinal health surveys

    Alfred C Marcus•American Journal of Public Health•1982

  • Outbreak of illness due to volatilized asphalt coming from a malfunctioning fluorescent lighting fixture

    D R Tavris, Langley Field et al.•American Journal of Public Health•1984

  • Predicting changes in perceived health status

    Marcus S Goldstein, J M Siegel et al.•American Journal of Public Health•1984

  • Perceived health status among the new urban homeless

    Open Access•Richard H Ropers, Richard Boyer•Social Science & Medicine•1987

  • Health status indices and access to medical care

    Ronald Andersen•American Journal of Public Health•1978

  • Sex, illness, and medical care

    Open Access•Constance A Nathanson•Social Science & Medicine (1967•1977

  • Sex differentials in morbidity and mortality in the United States

    Lois M Verbrugge•Social Biology•1976

  • Economic and Noneconomic Barriers to the Use of Needed Medical Services

    Lu Ann Aday•Medical Care•1975

  • Measuring the Urban Poorʼs Use of Physiciansʼ Services in Response to Illness Episodes

    William C Richardson•Medical Care•1970

  • Socioeconomic Status and Use of Physician Services Revisited

    Peter D Fox, Thomas W Bice•Medical Care•1976

  • Physiologic, Psychological and Demographic Factors in Patient Compliance with Doctors?? Orders

    Milton S Davis•Medical Care•1968

  • Health and Social Factors Related to Life Satisfaction

    Erdman Palmore, Clark Luikart•Journal of Health and Social…•1972

  • Age and the Measurement of Mental Health

    Charles M Gaitz, Judith Scott•Journal of Health and Social…•1972

  • Females and Illness

    Lois M Verbrugge•Journal of Health and Social…•1976

Citations per year0.22
Citation span1981 - 1987 (7)
Highly citedNo

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