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Related Experiment Videos

Physician utilization by three groups of ethnic elderly.

C Cox

    Medical Care
    |August 1, 1986
    PubMed
    Summary

    Physician use among ethnic elderly varies, with

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    Area of Science:

    • Gerontology
    • Health Services Research
    • Sociology of Health

    Background:

    • Understanding healthcare access for diverse elderly populations is crucial.
    • Ethnic disparities in healthcare utilization persist.
    • The Andersen and Newman behavioral model is a key framework for analyzing healthcare access.

    Purpose of the Study:

    • To examine physician utilization determinants among Vietnamese, Portuguese, and Hispanic elderly in California.
    • To compare how predisposing, enabling, and need factors influence healthcare access across these ethnic groups.
    • To identify culturally specific predictors of physician use in elderly populations.

    Main Methods:

    • Utilized Andersen and Newman's behavioral model for analysis.
    • Employed univariate analysis to compare ethnic groups on demographic, socioeconomic, and health factors.
    • Applied least squares regression to identify predictors of physician utilization.

    Main Results:

    • Need is a universal determinant of physician care, but its definition varies by ethnicity.
    • While chronic illness rates and physician visit frequency were similar, predictors of utilization differed significantly.
    • Marital status uniquely predicted utilization for Portuguese (married) and Hispanic (unmarried) elderly.
    • Patient satisfaction with medical care was the primary predictor for Vietnamese elderly, suggesting a broader role for physicians.

    Conclusions:

    • Ethnicity significantly shapes the determinants of physician utilization among the elderly.
    • Healthcare providers must acknowledge and address cultural diversity to improve access and utilization.
    • Physician roles may extend beyond healthcare provision to encompass broader patient needs within specific ethnic communities.

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