The Association between Types of Usual Source of Care and Unmet Health Care Needs

2020 ◽  
Vol 53 ◽  
pp. 105-128
Author(s):  
Kwang-Myo Kim ◽  
Chang-Yup Kim
Keyword(s):  
Health Care ◽  
Health Care Needs ◽  
Usual Source Of Care ◽  
Care Needs ◽  
Usual Source ◽  
Source Of Care ◽  
Unmet Health Care Needs

Usual Source of Care and Unmet Health Care Needs

Medical Care ◽  
2014 ◽  
Vol 52 ◽  
pp. S40-S50 ◽  
Author(s):  
Willi Horner-Johnson ◽  
Konrad Dobbertin
Keyword(s):  
Health Care ◽  
Health Care Needs ◽  
Usual Source Of Care ◽  
Care Needs ◽  
Usual Source ◽  
Source Of Care ◽  
Unmet Health Care Needs

The Financial Implications of Availability and Quality of a Usual Source of Care for Children with Special Health Care Needs

2007 ◽  
Vol 12 (2) ◽  
pp. 243-259 ◽  
Author(s):  
Chia-Ling Liu ◽  
Alan M. Zaslavsky ◽  
Michael L. Ganz ◽  
James Perrin ◽  
Steven Gortmaker ◽  
...  
Keyword(s):  
Health Care ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Usual Source Of Care ◽  
Care Needs ◽  
Special Health Care ◽  
Usual Source ◽  
Source Of Care ◽  
Special Health

scholarly journals Redesigning Family Medicine Training to Meet the Emerging Health Care Needs of Patients and Communities:

2021 ◽  
Author(s):  
Norman B. Kahn
Keyword(s):  
Health Care ◽  
Chronic Illness ◽  
Family Medicine ◽  
Family Physicians ◽  
Cost Of Care ◽  
Health Care Needs ◽  
Usual Source Of Care ◽  
Care Needs ◽  
Usual Source ◽  
Source Of Care

This paper reflects a vision of how family medicine residency training will be redesigned to prepare graduates to meet the health care needs of their patient populations and regional communities. Family physicians are needed to serve as personal physicians and as the patient’s usual source of care, as recognized in historic documents that have defined the specialty’s enduring role in society as the foundation of the health care system. Modern residency practices will include residents as junior partners and members of multidisciplinary faculty teams. Residency practices will measure and improve care consistent with the triple aim: enhancing the experience of care for patients, improving outcomes of care for populations, and reducing waste and the cost of care in the system.Curricula will include core elements of the roles of family physicians, including the development of therapeutic relationships with patients and families, recognizing patients’ needs and expectations, professionalism, the identification and management of acute and chronic illness, maternity care, and the care of hospitalized patients. Also included will be emerging expectations of family physicians, including team roles, expanded care through telehealth and patient portals, identifying and intervening in modifiable social determinants of health, addressing structural racism, closing gaps of inequitable care for their patient populations, managing addiction as a treatable chronic illness, improving performance through clinical data registries, personalized medicine, and leadership. Wellness and assurance of a satisfying career will be a priority focus of preparation for career-long practice. Residents will become competent in the comprehensive scope of practice needed to serve in the role of continuous personal physician on multidisciplinary teams that serve as the usual source of care for populations in regions where the residencies are located.  

scholarly journals Gendered Association Between Employment Status and Unmet Health Care Needs Among Middle-Aged Koreans

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 226-226
Author(s):  
Si Young Song ◽  
Hey Jung Jun ◽  
Susanna Joo ◽  
Sun Ah Lee
Keyword(s):  
Health Care ◽  
Employment Status ◽  
Working Women ◽  
Social Contexts ◽  
Moderating Effect ◽  
Health Care Needs ◽  
Middle Aged ◽  
Care Needs ◽  
Significant Difference ◽  
Unmet Health Care Needs

Abstract Previous studies show that working people are less likely to experience unmet health care needs than non-workers. Also, employment and health are located in gendered social contexts. The present study aims to examine the moderating effect of gender on the association between employment status and unmet health care needs among middle-aged Koreans. We conducted logistic regression using the Korean Health Panel data (in 2016 and 2017; N=2,573, age range=45-64). Having experiences unmet health care needs in 2017 was the binary dependent variable. Employment status in 2016 was the binary independent variable and gender was the moderating variable. Age, education level, marital status, annual income, household type, type of medical security, disability, self-rated health, the number of chronic diseases, and stress level in 2016 were also in the analytic model based on the Andersen’s health behavioral model. The percentages of middle-aged people experiencing unmet health care needs were 18% for working men, 11% for non-working men, 13% for working women, and 16% for non-working women. The result showed there was significant moderating effect of gender (B= .72, p< .05). Specifically, working men were less likely to experience unmet health care needs than non-working men. On the contrary, there was not the significant difference in experiencing unmet health care needs between working and non-working women. It indicates that it is necessary to supplement medical services for especially for middle-aged men who are not employed because they might experience considerable amounts of unmet health care needs.

scholarly journals Unmet health care needs among sex workers in five census metropolitan areas of Canada

2016 ◽  
Vol 107 (3) ◽  
pp. e266-e271 ◽  
Author(s):  
Cecilia Benoit ◽  
Nadia Ouellet ◽  
Mikael Jansson
Keyword(s):  
Health Care ◽  
Sex Workers ◽  
Metropolitan Areas ◽  
Health Care Needs ◽  
Care Needs ◽  
Unmet Health Care Needs

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.

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