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Related Experiment Videos

When elders fail to visit physicians.

L G Branch, K T Nemeth

    Medical Care
    |November 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Many older adults skip doctor visits due to cost, transportation, or age beliefs. Lower income, health, and morale were linked to missed appointments, while appointment issues surprisingly increased visits for some seniors.

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    Area of Science:

    • Gerontology
    • Health Services Research
    • Public Health

    Background:

    • Healthcare access remains a critical issue for the elderly population.
    • Understanding barriers to physician utilization is essential for improving health outcomes in older adults.

    Purpose of the Study:

    • To investigate the reasons why individuals aged 70 and older do not seek medical care when needed.
    • To identify demographic, socioeconomic, and health-related factors associated with unmet physician needs.

    Main Methods:

    • A survey-based study was conducted among individuals over age 70.
    • Data collected included reasons for not seeing a physician, demographic information, and health status.

    Main Results:

    • 17% of older adults reported not seeing a physician when they felt it was necessary.

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  • Key reasons included perceived age-related issues (12%), transportation problems, and cost difficulties.
  • Lower income, morale, and health status were associated with missed appointments due to practical barriers.
  • Conversely, higher income, lack of private insurance, living alone, male gender, and lower morale were linked to appointment difficulties.
  • Attributing health issues to age, lower education, fewer functional problems, and higher morale correlated with being out of annual physician contact.
  • Interestingly, appointment difficulties were associated with increased physician visit frequency, as were younger age (closer to 70), worse perceived health, and more functional problems.

    • Conclusions:

    • Multiple barriers prevent older adults from accessing timely medical care, with significant variations based on socioeconomic status, health, and personal beliefs.
    • Age attribution and practical difficulties like cost and transportation are significant deterrents.
    • Strategies to improve healthcare utilization in this demographic are needed, addressing both practical and attitudinal barriers.