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Factors associated with health service utilization patterns in low-income women.
Weinreb, Linda; Perloff, Jennifer; Goldberg, Robert; Lessard, Darleen; Hosmer, David W.
Afiliación
  • Weinreb L; Department of Family Medicine and Community Health, University of Massachusetts Medical School, USA. WeinrebL@ummhc.org
J Health Care Poor Underserved ; 17(1): 180-99, 2006 Feb.
Article en En | MEDLINE | ID: mdl-16520526
ABSTRACT
Little is known about the relationship of demographic, health, and psychosocial factors with health services utilization over time among low-income female heads of household. In a case-control study conducted between 1991 and 1997, 273 homeless and low-income housed mothers living in Worcester, Massachusetts were interviewed at baseline and at a two-year follow-up. The use of outpatient and emergency department care in this study sample was examined. High usage patterns were found at baseline. At the two-year follow-up, poor health status, non-White race, and fewer supportive relationships were significantly associated with frequent emergency department visits. Women with higher rates of ongoing outpatient medical care visits were more likely to have fewer social supports and more bodily pain than women with lower rates of ambulatory care usage. Mental health and victimization were not associated with service use patterns. In order to address poor women's needs in a more effective and potentially less costly way, health programs must understand their need for social support and culturally responsive services.
Asunto(s)
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Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Pobreza / Personas con Mala Vivienda / Servicio de Urgencia en Hospital / Atención Ambulatoria / Accesibilidad a los Servicios de Salud Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans País/Región como asunto: America do norte Idioma: En Revista: J Health Care Poor Underserved Asunto de la revista: SERVICOS DE SAUDE Año: 2006 Tipo del documento: Article País de afiliación: Estados Unidos
Buscar en Google
Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Pobreza / Personas con Mala Vivienda / Servicio de Urgencia en Hospital / Atención Ambulatoria / Accesibilidad a los Servicios de Salud Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans País/Región como asunto: America do norte Idioma: En Revista: J Health Care Poor Underserved Asunto de la revista: SERVICOS DE SAUDE Año: 2006 Tipo del documento: Article País de afiliación: Estados Unidos