Access to Medical Care for the Poor: The Federal Perspective

Fox, Peter D.

doi:10.1097/00005650-197205000-00009

“…6 6 For one view of the government role, see Fox (1972). Nongovernmental interest in utilization studies is exemplified by the recent statement of the Milbank Memorial Fund (1972), the highly respected, nonprofit corporation which for almost 70 years has supported a “diversity of programs and activities within the field of health and has chosen successive areas of concentration in response to the continually shifting patterns of the growth of knowledge, the emergence of new problems and public needs, the changing potentials for significant advances and the availability of resources … the fund will concentrate its efforts upon the exploration of more effective utilization of health services by consumers , with particular emphasis upon the acquisition and application of knowledge about the accessibility and acceptability of such services to consumers.” …”

mentioning

confidence: 99%

Societal and Individual Determinants of Medical Care Utilization in the United States

Andersen¹,

Newman²

2005

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A theoretical framework for viewing health services utilization is presented, emphasizing the importance of the (1) characteristics of the health services delivery system, (2) changes in medical technology and social norms relating to the definition and treatment of illness, and (3) individual determinants of utilization. These three factors are specified within the context of their impact on the health care system. Empirical findings are discussed which demonstrate how the framework might be employed to explain some key patterns and trends in utilization. In addition, a method is suggested for evaluating the utility of various individual determinants of health services utilization used in the framework for achieving a situation of equitable distribution of health services in the United States.

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“…5 Three-quarters of the heads of families in the United States in 1971 agreed with the statement, "There is a crisis in health care in the United States" (Andersen et al, 1972: 45). 6 For one view of the government role, see Fox (1972). Nongovernmental interest in utilization studies is exemplified by the recent statement of the Milbank Memorial Fund (1972), the highly respected, nonprofit corporation which for almost 70 years has supported a "diversity of programs and activities within the field of health and has chosen successive areas of concentration in response to the continually shifting patterns of the growth of knowledge, the emergence of new problems and public needs, the changing potentials for significant advances and the availability of resources .…”

mentioning

confidence: 99%

Societal and Individual Determinants of Medical Care Utilization in the United States

Andersen¹,

Newman²

1973

The Milbank Memorial Fund Quarterly. Health and Society

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A theoretical framework for viewing health services utilization is presented, emphasizing the importance of the (1) characteristics of the health services delivery system, (2) changes in medical technology and social norms relating to the definition and treatment of illness, and (3) individual determinants of utilization. These three factors are specified within the context of their impact on the health care system. Empirical findings are discussed which demonstrate how the framework might be employed to explain some key patterns and trends in utilization. In addition, a method is suggested for evaluating the utility of various individual determinants of health services utilization used in the framework for achieving a situation of equitable distribution of health services in the United States.

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“…Fox [12] further supports this line of reasoning by identifying a "market malfunction." This malfunction occurs in terms of both financing and supplying medical care.…”

Section: The Problem With Existing Policesmentioning

confidence: 81%