AI Article Synopsis

  • The study investigates how living in rural areas affects people's perception of their need for physician services, suggesting that those in rural areas may not recognize their health care needs as much as urban counterparts.
  • Logistic regression analyses revealed that rural children, along with poor children and those with less educated or uninsured mothers, were less likely to report needing routine or specialty care.
  • The findings indicate that living in rural areas and having certain social vulnerabilities might lead to an underestimation of unmet health care needs, potentially skewing data on access to care.

Article Abstract

To determine whether self-reports of unmet need are biased measures of access to health care, the authors examine the relationship between rural residence and perceived need for physician services. They perform logistic regression analyses to examine the likelihood of reporting a need for routine preventive care and/or specialty care using data from the National Survey of Children with Special Health Care Needs. Even after controlling for factors known to be associated with evaluated need, parents of rural children were less likely to report a need for routine or specialty services. Poor children, those whose mothers had less education, and those who were uninsured in the previous year were also less likely to perceive a need for physician services. Findings suggest that rural residence and other social vulnerabilities are associated with decreased perception of need, which may bias subjective measurements of unmet need for these populations.

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http://dx.doi.org/10.1177/1077558705279315DOI Listing

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