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Insurance Coverage and Perceived Access to Care Among Rural Adults: A Cross-Sectional Study Using Andersen's

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Summary
This summary is machine-generated.

Health insurance significantly improves perceived healthcare access for rural adults. However, equitable care requires addressing insurance gaps and broader structural barriers like provider shortages and transportation issues.

Keywords:
access to health carehealthcare disparitiesrural health

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Area of Science:

  • Health Services Research
  • Rural Health Equity
  • Healthcare Access Studies

Background:

  • Rural U.S. communities face persistent challenges in accessing medical care despite improved insurance coverage.
  • The link between insurance status and perceived healthcare access among rural populations remains under-examined.

Purpose of the Study:

  • To investigate the association between insurance status and perceived access to healthcare among rural adults in Connecticut.
  • To adjust for predisposing, enabling, and need-based factors using Andersen's Behavioral Model of Health Services Use (ABMHSU).

Main Methods:

  • Cross-sectional secondary analysis of the 2012-2013 Connecticut Health Care Survey data.
  • Inclusion of 593 unweighted cases (weighted N = 256,725).
  • Weighted logistic regression to assess the insurance-perceived access association, controlling for covariates.

Main Results:

  • Insurance coverage demonstrated a significant positive association with greater perceived healthcare access (OR = 1.38, 95% CI [1.35, 1.42]).
  • Other significant factors included gender, age, marital status, employment, and chronic conditions.
  • The model explained 19.8% of the variance and achieved 76% correct classification.

Conclusions:

  • Insurance is a crucial enabler of perceived healthcare access for rural adults.
  • Insurance alone is insufficient for equitable rural healthcare; structural challenges must also be addressed.
  • Addressing insurance gaps, provider shortages, transportation, and system navigation is vital for rural healthcare equity.