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Access to Medical Care for Low-Income Persons: How do Communities Make a Difference?

University of California, Los Angeles

Hongjian Yu

University of California, Los Angeles

Roberta Wyn

University of California, Los Angeles

Pamela L. Davidson

University of California, Los Angeles

E. Richard Brown

University of California, Los Angeles

Stephanie Teleki

University of California, Los Angeles

This paper considers the impact of community-level variables over and above the effects of individual characteristics on healthcare acess for low-income children and adults residing in large metropolitan statistical areas (MSAs). Further, we rank MSAs’ performance in promoting healthcare access for their low-income populations. The individual-level data come from the 1995 and 1996 National Health Interview Survey (NHIS). The community-level variables are derived from multiple public-use data sources. The out-come variable is whether low-income individuals received a physician visit in the past twelve months. The proportion receiving a visit by MSA varied from 63% to 99% for children and from 62% to 83% for adults. Access was better for individuals with health insurance and a regular source of care and for those living in communities with more federally-funded health centers. Children residing in MSA

Medical Care Research and Review, Vol. 59, No. 4, 384-411 (2002)
DOI: 10.1177/107755802237808


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