Residential segregation and the availability of primary care physicians.
Objective: To examine the association between residential segregation and geographic access to primary care physicians (PCPs) in metropolitan statistical areas (MSAs).Data Sources: We combined zip code level data on primary care physicians from the 2006 American Medical Association master file with...
| Publicado en: | Health Services Research Vol. 47; no. 6; pp. 2353 - 2377 |
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| Autores principales: | , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104384094&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104384094 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00179124 HSR jtl: Health Services Research issn: 00179124 maglogo: Y pubinfo: dt: Dec2012 vid: 47 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 104384094 NLM22524264 2011755221 10.1111/j.1475-6773.2012.01417.x NLM22524264 PMC3416972 104384094 ppf: 2353 ppct: 24 formats: tig: atl: Residential segregation and the availability of primary care physicians. aug: au: Gaskin DJ Dinwiddie GY Chan KS McCleary RR Gaskin, Darrell J Dinwiddie, Gniesha Y Chan, Kitty S McCleary, Rachael R affil: Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, Maryland 21205, USA sug: subj: Population Health Labor Supply Statistics and Numerical Data Health Services Accessibility Statistics and Numerical Data Health Services Accessibility Physicians, Family Statistics and Numerical Data Human Socioeconomic Factors ab: Objective: To examine the association between residential segregation and geographic access to primary care physicians (PCPs) in metropolitan statistical areas (MSAs).Data Sources: We combined zip code level data on primary care physicians from the 2006 American Medical Association master file with demographic, socioeconomic, and segregation measures from the 2000 U.S. Census. Our sample consisted of 15,465 zip codes located completely or partially in an MSA.Methods: We defined PCP shortage areas as those zip codes with no PCP or a population to PCP ratio of >3,500. Using logistic regressions, we estimated the association between a zip code's odds of being a PCP shortage area and its minority composition and degree of segregation in its MSA.Principal Findings: We found that odds of being a PCP shortage area were 67 percent higher for majority African American zip codes but 27 percent lower for majority Hispanic zip codes. The association varied with the degree of segregation. As the degree of segregation increased, the odds of being a PCP shortage area increased for majority African American zip codes; however, the converse was true for majority Hispanic and Asian zip codes.Conclusions: Efforts to address PCP shortages should target African American communities especially in segregated MSAs. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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