Hospital and Ambulatory Service Use by the Urban Elderly Under Different Health Care Delivery Systems
Bibliographic Data
| ID | 9102652 |
|---|---|
| Authors | Howard R Kelman (Albert Einstein College of Medicine), Cynthia Thomas (Albert Einstein College of Medicine) |
| Year | 1988 |
| Volume | 26 |
| Issue | 8 |
| Pages | 739-749 |
| Publication date | 1988-08-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198808000-00001 |
| PMID | 3398605 |
| OpenAlex | W2016336510 |
| Language | EN |
| Citations received | 5 |
| References cited | 7 |
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
Association between Primary Care Utilization and Emergency Room or Hospital Inpatient Services Utilization among the Middle-Aged and Elderly in a Self-Referral System
Patterns of Stability and Change in Health Service Use among Elderly People
Cognitive impairment and mortality in older community residents
Longitudinal patterns of formal and informal social support in an urban elderly population
Societal and Individual Determinants of Medical Care Utilization in the United States
Longer Life but Worsening Health? Trends in Health and Mortality of Middle-Aged and Older Persons
Mode of Payment as a Predictor of Health Status, Use of Health Services and Preventive Health Behavior
The Importance of Type of Usual Source of Care for Children??s Physician Access and Expenditures
Correlates of Physician Utilization
The Effect of Income on Use of Preventive Care
Assessing the Effects of Predisposing, Enabling, and Illness-Morbidity Characteristics on Health Service Utilization
| Unique citing works | 5 |
|---|---|
| Citations per year | 0,14 |
| Citation span | 1991 - 2022 (32) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 4 |