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Factors affecting the choice of hospital based ambulatory care by the urban poor

T.J. Skinner, B.S. Price, D.W. Scott and G.A. Gorry

American Journal of Public Health, 1977, vol. 67, issue 5, 439-445

Abstract: This study of patients in the outpatient department at an urban hospital revealed that almost all could have reached a neighborhood center in less time and only a small number came to the hospital rather than a neighborhood center out of medical necessity. When the patients were asked about their willingness to obtain treatment at a neighborhood center, 48% were willing, 52% were not. These responses did not vary by demographic or medical characteristics but rather by the patients' stated priorities regarding medical care. 80% of those willing to change sites stressed convenience of access as a first priority compared with only 17% of those not willing to change. Emphasis on quality of care (45%) or on familiarity with the site (37%) distinguished the group not willing to change. The findings suggest that successfull efforts to persuage patients to utilize a neighborhood center must base their persuade on patients' individual priorities.

Date: 1977
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:1977:67:5:439-445_5

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