文章基本信息

标题：Relationship between Having a Home Doctor and Outpatient Utilization
本地全文：下载
作者：Seiji Bito ; Shunichi Fukuhara ; Martin F Shapiro 等
期刊名称：Journal of Epidemiology
印刷版ISSN：0917-5040
电子版ISSN：1349-9092
出版年度：2001
卷号：11
期号：4
页码：160-169
DOI：10.2188/jea.11.160
出版社：Japan Epidemiological Association
摘要：While universal insurance coverage should eliminate or substantially reduce financial and certain structural barriers to medical care, inequity in utilization of care may continue to exist. We conducted a questionnaire survey of a national random sample of 4500 Japanese age16 or over in October, 1995. Separate analyses were conducted to predict the physician visit rates for the entire respondents (N=3395) and for those with chronic conditions (N=777). Forty-three percent of the total subjects reported an ambulatory physician visit within the past three months. About 17% of subjects with one chronic condition and 14% of those with two or more chronic conditions did not have any physician visits within recent three months. The regression model demonstrated that having a home doctor, as well as comorbidity and perceived health status, is significantly associated with outpatient visit both among all subjects (p< 0.0001) and among those with chronic conditions (p< 0.01). The Japanese health system still has unevenness in outpatient resource utilization. This mainly pertains to whether they have their own regular physician. The failure of some persons with chronic diseases to be seen requires further investigation. J Epidemiol , 2001 ; 11 : 160-169
关键词：resource utilization;equity in health services;home doctor;health system in Japan.