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Factors Affecting Access to Medical Care-Reply
Samuel Cykert, MD;
Rita Layson, MD
The Moses H. Cone Memorial Hospital Greensboro, NC
Arch Fam Med. 1994;3(4):308-309.
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In reply
Moore-Waters appropriately points out that many factors influence physicians' willingness to accept publicly insured patients. Regarding his specific comments, our survey was centered in Greensboro, NC, and its surrounding counties. The city itself has a population of 185 000, and when the surrounding communities are added, the overall population of the survey area is roughly 600 000. Approximately 12% of patients are insured by Medicaid, 13% by Medicare, and 60% by private insurance. Fifteen percent are currently uninsured. These data are not significantly different from data pertaining to cities of similar size and surroundings. This study was indeed local and in a sense does lack generalizability; however, there is no reason to think that these patient acceptance trends based on insurance status do not exist elsewhere.
We disagree with Moore-Waters' assertion that because of the greater willingness of rural physicians to accept publicly insured patients that these data should have
. . . [Full Text PDF of this Article]
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