期刊
AMERICAN JOURNAL OF PUBLIC HEALTH
卷 94, 期 5, 页码 783-789出版社
AMER PUBLIC HEALTH ASSOC INC
DOI: 10.2105/AJPH.94.5.783
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资金
- NIA NIH HHS [P30 AG021684] Funding Source: Medline
- NIMHD NIH HHS [P20 MD000148] Funding Source: Medline
Objectives. We estimated the prevalence and determinants of delayed and unmet needs for medical care among patients in a restructured public health system. Methods. We conducted a stratified cross-sectional probability sample of primary care patients in the Los Angeles County Department of Health Services. Face-to-face interviews were conducted with 1819 adult patients in 6 languages. The response rate was 80%. The study sample was racially/ethnically diverse. Results. Thirty-three percent reported delaying needed medical care during the preceding 12 months; 25% reported an unmet need for care because of competing priorities; and 46% had either delayed or gone without care. Conclusions. Barriers to needed health care continue to exist among patients receiving care through a large safety net system. Competing priorities for basic necessities and lack of insurance contribute importantly to unmet health care needs.
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