Access to preventive services for adults of Mexican origin.

Immigrants arrive in the U.S. with better than average health, which declines over time.

A refined protocol for coding nursing home residents' comments during satisfaction interviews.

Objective: This study's objective was to refine a method for coding nursing home (NH) residents' comments about their perceptions of care into unmet needs specific to the manner and frequency of care delivery.

Methods: NH residents (N=69) were interviewed with both closed-ended (i.e.

Equity of access to health care for older adults in four major Latin American cities.

Objectives: To identify if older adults have equitable access to health services in four major Latin American cities and to determine if the inequities that are found follow the patterns of economic inequality in each of the four nations studied.

Methods: Data from persons age 60 and over in the cities of São Paulo, Brazil (n = 2,143); Santiago, Chile (n = 1,301); Mexico City, Mexico (n = 1,247); and Montevideo, Uruguay (n = 1,450) were collected through a collaboration led by the Pan American Health Organization. For our study, three process indicators of access (availability, accessibility, and acceptability) and one indicator of actual health services use (visit to a medical doctor in the past 12 months) were analyzed by wealth quintiles, health insurance type, education, health status, and demographic characteristics.