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Inequality in Health Care Programs

A Note on Some Structural Factors Affecting Health Care Behavior

Bibliographic Data

ID9101772
AuthorsDAVID BARTON SMITH (Cornell University, corresponding author), Arnold D Kaluzny (University of North Carolina at Chapel Hill)
Year1974
Volume12
Issue10
Pages860-870
Publication date1974-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-197410000-00005
PMID4437217
OpenAlexW2050752941
LanguageEN
Citations received6
References cited11

It was hypothesized that the distribution of programs in the United States designed to improve effective, comprehensive use of primary health care (home health, family planning, rehabilitation, mental health, medical social work, and chronic disease screening programs) are more related to the environmental resources of a particular community than the needs of that population. Hospitals in poor communities were significantly less likely to provide any of these services than those in more wealthy areas. The discrepancies between the services provided in poor as opposed to more wealthy areas by health departments were less. Health departments were significantly more likely to provide chronic disease screening and family planning services in poor areas. In general, medical social work, rehabilitation, and mental health services tended to be more emphasized in more wealthy areas while chronic disease screening and family planning services seemed to get more emphasis in poor areas. The implications of these findings for understanding the political economic dynamics within the health sector and the formulation of change strategies are discussed

Chronic disease · Disease · Distribution (mathematics) · Economic growth · Environmental health · Family medicine · Health care · Inequality · Mental health · Physical therapy · Population · Psychiatry · Public health · Social determinants of health · Work (physics) · Food Security and Health in Diverse Populations · Gender, Labor, and Family Dynamics · Medicine · Nursing · Psychology · Rehabilitation · Urban, Neighborhood, and Segregation Studies · Gerontology · Health Policy

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Unique citing works6
Citations per year0,12
Citation span1977 - 2022 (46)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 4

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