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Factors Affecting Access to Medical Care
Sondi Moore-Waters, MD
Morehouse School of Medicine Atlanta, Ga
Arch Fam Med. 1994;3(4):308.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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I enjoyed the article by Cykert and Layson,1 published in the November 1993 issue of the ARCHIVES. I do agree with the authors' hypothesis that universal health insurance will not assure universal access. However, I disagree with the "Materials and Methods" section of the article. First, the authors chose a small southern town that may not be representative of the general population. The reader was not given any demographic information, such as the mean age of the population, minority status, or percentage of the population that received Medicaid or Medicare vs private insurance. I believe this information is important because if the majority of the population had private insurance, physicians would be less inclined to accept Medicaid or Medicare.
Second, because such large differences were found between rural and urban physicians, perhaps rural physicians should not have been used in the study. To determine why rural practices were different
. . . [Full Text PDF of this Article]
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