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Emergency department utilization, hospital admissions, and physician visits among elderly African American persons
Author(s)Mohsen Bazargan, Shahrzad Bazargan, Richard S Baker
Journal titleThe Gerontologist, vol 38, no 1, February 1998
Pagespp 25-36
KeywordsBlack people ; Accident & emergency depts ; Admission [hospitals] ; Doctors ; Usage [services] ; United States of America.
AnnotationThis study used a theoretical model of health service utilisation to examine emergency department utilisation, hospital admissions, and office-based physician visits among a sample of 998 low-income older African American persons. Poisson Regression analysis was used to estimate the parameters specified in the Anderson behavioural model. Some of the more interesting results include the following: a greater frequency of emergency room visits among respondents with a lower level of accessibility to physician services; a lack of a significant relationship between some chronic illnesses such as diabetes and heart problems and the frequency of office-based physician visits; a greater number of hospital admissions among insured persons; and a significant impact of the health locus of control indexes on all three types of health care utilisation. The results of this study challenge the assumption that hospital and emergency use are the results of of nondiscretionary behaviour.
Accession NumberCPA-980428403 A
ClassmarkTKE: LD6: LD:QKH: QT2: QLD: 7T

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