scholarly journals Parent and Child Usual Source of Care and Children's Receipt of Health Care Services

2011 ◽  
Vol 9 (6) ◽  
pp. 504-513 ◽  
Author(s):  
J. E. DeVoe ◽  
C. J. Tillotson ◽  
L. S. Wallace ◽  
H. Angier ◽  
M. J. Carlson ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Usual Source Of Care ◽  
Usual Source ◽  
Care Services ◽  
Source Of Care

scholarly journals States with fewer criminalizing immigrant policies have smaller health care inequities between citizens and noncitizens

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Maria-Elena De Trinidad Young ◽  
Hiram Beltrán-Sánchez ◽  
Steven P. Wallace
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
State Level ◽  
Comparative Approach ◽  
Usual Source Of Care ◽  
Data Set ◽  
Logistic Regression Models ◽  
Usual Source ◽  
Care Access ◽  
Source Of Care

Abstract Background In the last thirty years, major shifts in immigrant policy at national and state levels has heightened boundaries among citizens, permanent residents, and those with other statuses. While there is mounting evidence that citizenship influences immigrant health care inequities, there has been less focus on how policies that reinforce citizenship stratification may shape the extent of these inequities. We examine the extent to which the relationship between citizenship and health care inequities is moderated by state-level criminalization policies. Methods Taking a comparative approach, we assess how distinct criminalization policy contexts across US states are associated with inequitable access to care by citizenship status. Utilizing a data set with state-level measures of criminalization policy and individual-level measures of having a usual source of care from the National Health Interview Survey, we use mixed-effects logistic regression models to assess the extent to which inequities in health care access between noncitizens and US born citizens vary depending on states’ criminalization policies. Results Each additional criminalization policy was associated with a lower odds that noncitizens in the state had a usual source of care, compared to US born citizens. Conclusion Criminalization policies shape the construction of citizenship stratification across geography, such as exacerbating inequities in health care access by citizenship.

Impact of a Usual Source of Care on Health Care Use, Spending, and Quality Among Adults With Mental Health Conditions

2017 ◽  
Vol 45 (3) ◽  
pp. 462-471 ◽  
Author(s):  
Catherine A. Fullerton ◽  
Whitney P. Witt ◽  
Clifton M. Chow ◽  
Manjusha Gokhale ◽  
Christine E. Walsh ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Use ◽  
Health Conditions ◽  
Usual Source Of Care ◽  
Mental Health Conditions ◽  
Usual Source ◽  
Source Of Care

scholarly journals Association Between Parental Barriers to Accessing a Usual Source of Care and Children’s Receipt of Preventive Services

2017 ◽  
Vol 132 (3) ◽  
pp. 316-325 ◽  
Author(s):  
John Bellettiere ◽  
Emmeline Chuang ◽  
Suzanne C. Hughes ◽  
Isaac Quintanilla ◽  
C. Richard Hofstetter ◽  
...  
Keyword(s):  
Health Care ◽  
Preventive Health Services ◽  
Preventive Services ◽  
Preventive Health ◽  
Attitudes And Beliefs ◽  
Usual Source Of Care ◽  
Well Child Care ◽  
Usual Source ◽  
Source Of Care ◽  
Parental Barriers

Objectives: Preventive health services are important for child development, and parents play a key role in facilitating access to services. This study examined how parents’ reasons for not having a usual source of care were associated with their children’s receipt of preventive services. Methods: We used pooled data from the 2011-2014 National Health Interview Survey (n = 34 843 participants). Parents’ reasons for not having a usual source of care were framed within the Penchansky and Thomas model of access and measured through 3 dichotomous indicators: financial barriers (affordability), attitudes and beliefs about health care (acceptability), and all other nonfinancial barriers (accessibility, accommodation, and availability). We used multivariable logistic regression models to test associations between parental barriers and children’s receipt of past-year well-child care visits and influenza vaccinations, controlling for other child, family, and contextual factors. Results: In 2014, 14.3% (weighted percentage) of children had at least 1 parent without a usual source of care. Children of parents without a usual source of care because they “don’t need a doctor and/or haven’t had any problems” or they “don’t like, trust, or believe in doctors” had 35% lower odds of receiving well-child care (adjusted odds ratio = 0.65; 95% CI, 0.56-0.74) and 23% lower odds of receiving influenza vaccination (adjusted odds ratio = 0.77; 95% CI, 0.69-0.86) than children of parents without those attitudes and beliefs about health care. Financial and other nonfinancial parental barriers were not associated with children’s receipt of preventive services. Results were independent of several factors relevant to children’s access to preventive health care, including whether the child had a usual source of care. Conclusions: Parents’ attitudes and beliefs about having a usual source of care were strongly associated with their children’s receipt of recommended preventive health services. Rates of receipt of child preventive services may be improved by addressing parents’ attitudes and beliefs about having a usual source of care. Future studies should assess causes of these associations.

Usual Source Of Care: An Important Source Of Variation In Health Care Spending

2009 ◽  
Vol 28 (2) ◽  
pp. 567-577 ◽  
Author(s):  
Robert L. Phillips ◽  
Martey S. Dodoo ◽  
Larry A. Green ◽  
George E. Fryer ◽  
Andrew W. Bazemore ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Spending ◽  
Usual Source Of Care ◽  
Usual Source ◽  
Source Of Care

Exploring Contextual Factors and Patient Activation

2014 ◽  
Vol 41 (6) ◽  
pp. 614-624 ◽  
Author(s):  
Jie Chen ◽  
Karoline Mortensen ◽  
Robin Bloodworth
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Disorders ◽  
Mental Health Care ◽  
Low Income ◽  
Contextual Factors ◽  
Patient Activation ◽  
Usual Source Of Care ◽  
Usual Source ◽  
Source Of Care

Patient activation has been considered as a “blockbuster drug of the century.” Patients with mental disorders are less activated compared to patients with other chronic diseases. Low activation due to mental disorders can affect the efficiency of treatment of other comorbidities. Contextual factors are significantly associated with mental health care access and utilization. However, evidence of their association with patient activation is still lacking. Using data from the Health Tracking Household Survey 2007 and Area Health Resource File 2008, we examine the association between contextual factors and self-reported activation levels among patients with depression. We investigate two types of contextual factors—(a) site of usual source of care and (b) community characteristics, measured by mental health care resources availability, population demographics, and socioeconomic characteristics at the county level. Results show significant variation in activation levels by contextual factors. The availability of community mental health centers, lower proportion of foreign-born individuals, and higher income in the local community are associated with higher patient activation. Our results also show that depressed patients having a usual source of care at a physician’s office have significantly higher patient activation levels than those with a usual source of care in the emergency department or hospital outpatient clinics. Results suggest that primary care setting is critical to having a sustained relationship between patients and physicians in order to enhance patient engagement in mental health care. Interventions in communities with low income and high immigrant populations are necessary.

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