Analyses of National Data Using Urban Influence Codes
Rural-Urban Differences in Usual Source of Care and Ambulatory Service Use
Bibliographic Data
| ID | 9104961 |
|---|---|
| Authors | Sharon L Larson, Sharon Larson (0000-0001-5625-8500, Sprint (United States), corresponding author), John A Fleishman (corresponding author) |
| Year | 2003 |
| Volume | 41 |
| Pages | III-65–III–74 |
| Publication date | 2003-07-01 |
| 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 | 10.1097/00005650-200307007-00008 |
| OpenAlex | W2319641029 |
| Language | EN |
| References cited | 16 |
Background. Rural-urban disparities in access to and utilization of medical care have been a long-standing focus of concern. Objective. Using the nine-category Urban Influence Codes, this study examines the relationship between place of residence and having access and utilization of ambulatory health services. Research Design. Data come from the Medical Expenditure Panel Survey, conducted in 1996. Linear and logistic regression analyses assess the relationship between county type and having a usual source of care and ambulatory visits, controlling for demographic and health status measures. Results. Residents of counties that were totally rural were more likely to report having a usual source of care (adjusted OR: 1.98; CI: 1.01, 3.89) than residents of large metropolitan counties. Residents of places without a city of 10,000 or more, but adjacent to a metropolitan area, were also more likely to report having a usual source of care (adjusted OR: 1.92; CI: 1.16, 3.22). In a regression analysis, residents of the most rural places reported fewer visits during the year (B= −2.42, CI: −3.68, −1.32). Conclusions. Results suggest that using rural and urban definitions that go beyond the traditional dichotomy of metropolitan and non-metropolitan may assist policymakers and researchers in identifying types of places where there is a disparity in access and subsequent utilization of health care. Rural residents, defined as totally rural in the urban influence coding scheme, may report having a health care provider but report fewer visits to health care providers during a year
Ambulatory care · Economic growth · Environmental health · Geography · Health care · Health insurance · Logistic regression · Medical Expenditure Panel Survey · Metropolitan area · Residence · Rural area · Demography · Global Health Care Issues · Healthcare Policy and Management · Medicine · Primary Care and Health Outcomes · Gerontology
Urban and Rural Differences in Health Insurance and Access to Care
What is Rural? A Focus on Urban Influence Codes
The Meaning of Ambulatory Care Sensitive Admissions
Access to Health Care
Selected Comparisons and Implications of a National Rural and Urban Survey on Health Care Access, Demographics, and Policy Issues
Ambulatory Care Sensitive Hospitalization Rates in the Aged Medicare Population in Utah, 1990 to 1994
The Use of Health Care Services by People With Diabetes in Rural Areas
Access to Care for Rural Medicare Beneficiaries
Access and Ambulatory Care Sensitive Conditions
Differences in the Use of Health Services by Metropolitan and Nonmetropolitan Elderly
Health Insurance Coverage and Use of Services Among Low‐Income Elders
Health Insurance Coverage in U.S. Urban and Rural Areas
| Citation velocity | historical |
|---|---|
| Highly cited | No |