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Access to Primary Health Care: A Comparison of the US and the UK*

Published online by Cambridge University Press:  20 January 2009

Frank Puffer
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Abstract

This paper examines the extent to which low household income influences access to primary health care in both the US and the UK. The basic approach is to ask whether, given data about a person's age, sex, and self-reported general health status and history, extra information about whether or not they come from a low-income household adds a statistically significant amount to the probability of their obtaining various amounts of primary medical care. The measure of primary medical care is derived from the number of physician visits and it, along with the other data, is drawn from the 1977 US National Medical Care Expenditure Survey and the 1980 UK General Household Survey. Although the two surveys cover different sample periods, they are similar enough to make comparisons between the two countries possible. The main conclusion drawn from the study is that low household income is not an important determinant of the actual use of primary health care resources. Only with subgroups of the low-income population (UK women and US relatively unhealthy individuals) does there appear to be a statistically significant effect, which is quite small in comparison to other factors.

Type
Articles
Information
Journal of Social Policy , Volume 15 , Issue 3 , July 1986 , pp. 293 - 313
Copyright
Copyright © Cambridge University Press 1986

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References

REFERENCES

Blaxter, M., ‘Social Class and Health Inequalities’, in Carter and Peel (1976), pp. 111–25.Google Scholar
SirBrotherston, John (1976), ‘The Galton Lecture, 1975: Inequality, Is It Inevitable’, in Carter and Peel (1976), pp. 73–104.Google Scholar
Carter, C. O. and Peel, John (1976), Equalities and Inequalities in Health, Academic Press, London.Google Scholar
Collins, E. and Klein, R. (1980), ‘Equity and the NHS: self-reported morbidity, access and primary care’, British Medical Journal, 281, 1111–15.Google Scholar
Collins, E. and Klein, R. (1985), ‘Self-Reported Morbidity, Socio-Economie Factors and General Practitioner Consultations’, Bath Social Policy Papers, No. 5.Google Scholar
DHSS Working Group on Inequalities in Health (1980), Inequalities and Health (The Black Report).Google Scholar
Gilbert, G. N., Arber, S., O'Byrne, J. and Dale, A. (1983), General Household Survey, 1980, Office of Population Censuses and Surveys, University of Surrey.Google Scholar
Grand, J. Le (1978), ‘The Distribution of Public Expenditure: The Case of Health Care’, Economica, 45 (05), 125–42.Google Scholar
Grand, J. Le, (1981), ‘Inequalities in Health’, British Medical Journal, 283, 147.Google Scholar
Lindley, D. V. and Miller, J. C. P. (1953), Cambridge Elementary Statistical Tables, Cambridge University Press, Cambridge.Google Scholar
Maddala, G. S. (1983), Limited-dependent and qualitative variables in econometrics, Cambridge University Press, Cambridge.Google Scholar
Monheit, A., Hagan, M., Berk, M. and Wilensky, G. (1983), ‘Unemployment, Health Insurance and Medical Care Utilization’, National Health Care Expenditure Study.Google Scholar
Noyce, J., Snaith, A. H. and Trickey, A. J. (1974), ‘Regional Variations in the Allocation of Financial Resources to the Community Health Services’, The Lancet, 1 (03), 554–7.Google Scholar
Ott, F. Attiat and Puffer, F. W. (1984), ‘Allocation of Health Care Resources: Free vs. Regulated Approach’, unpublished paper presented at Health Services Management Centre, Birmingham, England.Google Scholar
Simpson, R. (1979), ‘Access to Primary Care’. (Research Paper No. 6). Royal Commission on the NHS, HMSO, London.Google Scholar
Swartz, K. (1984), ‘Who Has Been Without Health Insurance? Changes Between 1963 and 1979’, Paper 3308–01 The Urban Institute, Washington D.C.Google Scholar
Townsend, P. and Davidson, N. (1983), Inequalities in Health — The Black Report, Penguln, Harmondsworth.Google Scholar