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Related Experiment Videos

Physician visits in a farming-dependent county.

J E Rohrer1, M Urdaneta, T Vaughn

  • 1University of Iowa, Department of Preventive Medicine, College of Medicine, Iowa City 52242, USA.

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
|June 1, 1999
PubMed
Summary

Health status and marital status significantly predicted physician visits in a farming community. Insurance and income did not impact visit frequency, suggesting a need to refine medical care utilization models.

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Area of Science:

  • Health Services Research
  • Rural Health
  • Medical Sociology

Background:

  • Understanding factors influencing healthcare access and utilization is crucial, especially in rural, agriculturally dependent regions.
  • Previous models of medical care utilization may not fully capture the nuances of healthcare-seeking behaviors in specific populations.
  • Physician visit frequency serves as a key indicator of healthcare engagement and need.

Purpose of the Study:

  • To identify predictors of physician visit frequency in a farming-dependent county.
  • To test the applicability of a conceptual model of medical care utilization in a rural population.
  • To explore the roles of predisposing, enabling, and medical need variables in healthcare usage.

Main Methods:

  • A mail questionnaire survey was administered to a 16% random sample of households.

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  • Data from 426 respondents (60% response rate) were analyzed.
  • The number of physician visits in the prior 12 months (natural log plus one) was the dependent variable.

    • Main Results:

    • Self-rated health status was a significant predictor of physician visits.
    • A history of hospitalization and being married were also associated with increased physician visits.
    • Health insurance coverage and family income did not show a significant association with physician visit frequency.

    Conclusions:

    • Self-rated health, hospitalization history, and marital status are important factors in understanding physician utilization in this rural population.
    • The findings suggest that traditional enabling variables like insurance and income may have less influence on physician visits in certain socio-demographic contexts.
    • The study highlights the need to refine conceptual models for medical care utilization to better account for the unique characteristics of farming-dependent communities.