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Related Experiment Videos

Physician utilization by Hispanic elderly persons: national perspective.

D Burnette1, A C Mui

  • 1Columbia University School of Social Work, New York, NY 10025, USA. jdb5@columbia.edu

Medical Care
|April 23, 1999
PubMed
Summary

Health insurance and family support significantly impact physician visits for Hispanic elders. Cuban and Puerto Rican elders utilized physician services more than Mexican American elders.

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Area of Science:

  • Gerontology
  • Public Health
  • Health Services Research

Background:

  • The Hispanic American elderly population is rapidly growing, presenting complex health service needs.
  • Diversity within this demographic poses challenges for healthcare planning and delivery.

Purpose of the Study:

  • To examine factors influencing physician utilization among Hispanic elders using the behavioral model of health services.
  • To compare physician use likelihood across Mexican American, Cuban American, and Puerto Rican elders.

Main Methods:

  • Utilized data from the 1988 National Survey of Hispanic Elderly People, a nationally representative sample.
  • Analyzed a subsample of 773 Mexican Americans, 714 Cuban Americans, and 368 Puerto Ricans.
  • Employed hierarchical logistic regression with physician utilization as the dependent variable, considering predisposing, enabling, and need factors.

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Main Results:

  • Predisposing, enabling, and need factors all influenced physician visit likelihood.
  • Enabling factors, particularly insurance coverage and support from adult children, showed the strongest impact.
  • Cuban Americans (2.3x) and Puerto Ricans (2.6x) were significantly more likely to have seen a physician than Mexican Americans.

Conclusions:

  • Social, economic factors, and national origin significantly influence physician service access for Hispanic elders.
  • Healthcare providers and policymakers must consider these variables to improve healthcare utilization.
  • Targeted interventions may be necessary to address disparities in physician use among different Hispanic subgroups.