Abstract：
PURPOSE:We wanted to identify characteristics of adults who do not have a usual source of care and then stratify the analysis by those who prefer vs those who do not prefer to have a usual source of care. METHODS:We analyzed data from a nationally representative sample of 9,011 adults to identify characteristics of those more likely to not have a usual source of care. Based on stated reasons for lacking a usual source of care, we created 2 subpopulations of adults without a usual source of care: those who had no preference and those who did. We identified and compared characteristics of each subpopulation. RESULTS:In the year 2000, 20% of adults did not have a usual source of care. Among all adults, lack of insurance (odds ratio [OR] = 3.2; 95% confidence interval [CI], 2.6-3.9) was independently associated with lacking a usual source of care, as were male sex (OR = 2.1; 95% CI, 1.7-2.4), excellent reported health (OR = 2.0; 95% CI, 1.2-3.2), younger age (for ages 18-29 years, OR = 4.1; 95% CI, 3.1-5.4) and Hispanic ethnicity (OR = 1.5; 95% CI,1.2-1.9). Of those without a usual source of care, 72% cited reasons indicating no preference to have one. Associations among such respondents were similar to those found among adults as a whole. Among respondents who preferred to have a usual source of care, however, the sex of the respondent became less significant, lack of insurance became more significant, and reported health status became nonsignificant. CONCLUSIONS:Most adults who lack a usual source of care do so for reasons of preference, evidently placing little value on having a usual source of care. Helping these persons have a usual source of care will likely require different interventions than needed to help those who want a usual source of care but cannot get one.
journal_name
Ann Fam Medjournal_title
Annals of family medicineauthors
Viera AJ,Pathman DE,Garrett JMdoi
10.1370/afm.557subject
Has Abstractpub_date
2006-07-01 00:00:00pages
359-65issue
4eissn
1544-1709issn
1544-1717pii
4/4/359journal_volume
4pub_type
杂志文章abstract：PURPOSE:Our goal was to monitor the progress of 3 Healthy People 2010 (HP2010) objectives encouraging self-management education and clinician counseling for weight loss and physical activity among adults with doctor-diagnosed arthritis. METHODS:Using the national 2002 and 2006 National Health Interview Survey (NHIS) a...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1210
更新日期：2011-03-01 00:00:00
abstract：PURPOSE:Various models of care delivery have been investigated to meet the increasing demands in primary care. One proposed model is comanagement of patients by more than 1 primary care clinician. Comanagement has been investigated in acute care with surgical teams and in outpatient settings with primary care physician...
journal_title：Annals of family medicine
pub_type： 杂志文章,评审
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abstract：PURPOSE:We aimed to advance the internal and external validity of research by sharing our empirical experience and recommendations for systematically reporting contextual factors. METHODS:Fourteen teams conducting research on primary care practice transformation retrospectively considered contextual factors important ...
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更新日期：2013-05-01 00:00:00
abstract：PURPOSE:We aimed to identify the strategies used to support patient behavior change by clinicians whose patients had an increase in patient activation. METHODS:This mixed methods study was conducted in collaboration with Fairview Health Services, a Pioneer Accountable Care Organization. We aggregated data on the chang...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1904
更新日期：2016-03-01 00:00:00
abstract：PURPOSE:The purpose of this study was to examine the association between the prevalence of both diabetes-concordant and diabetes-discordant conditions and the quality of diabetes care at the family practice level in England. We hypothesized that the prevalence of concordant (or discordant) conditions would be associate...
journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2015-11-01 00:00:00
abstract：:When I began experiencing chest pain that was different from my usual heartburn symptoms, I denied I could possibly be having a heart attack, but chewed 4 baby aspirin just in case. Despite years of community education about the need to call 911 and seek immediate emergency care when experiencing signs and symptoms of...
journal_title：Annals of family medicine
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更新日期：2018-01-01 00:00:00
abstract：:As a result of a large and compelling body of evidence documenting the impacts of social determinants, such as income and education, on health outcomes, health care systems are beginning to incorporate social and economic risk data into health care delivery decisions. But there is a risk that some of these efforts cou...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.2339
更新日期：2019-01-01 00:00:00
abstract：PURPOSE:Multimorbidity is associated with adverse outcomes, yet research on the determinants of its incidence is lacking. We investigated which sociodemographic, health, and individual lifestyle (eg, physical activity, smoking behavior, body mass index) characteristics predict new cases of multimorbidity. METHODS:We u...
journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2018-07-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章,随机对照试验
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更新日期：2011-05-01 00:00:00
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更新日期：2003-11-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2009-03-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2019-08-12 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1353
更新日期：2012-03-01 00:00:00
abstract：:I had intended to spend our spring break week in Montana with my kids and my dad, going to parks and museums together. Instead, I spent the week in the hospital, helping my dad make end-of-life choices and learning more about the importance of communication in health care settings and the preciousness of close relatio...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1908
更新日期：2016-05-01 00:00:00
abstract：PURPOSE:The Seventh Report of the Joint National Commission (JNC 7) on High Blood Pressure established prehypertension (120 to 139 mm Hg systolic or 80 to 89 mm Hg diastolic) as a new risk category. We aim to determine the risk of major cardiovascular events associated with blood pressure in the prehypertensive range i...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.312
更新日期：2005-07-01 00:00:00
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更新日期：2020-09-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章,评审
doi：10.1370/afm.1677
更新日期：2014-09-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2017-07-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2017-03-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.84
更新日期：2004-09-01 00:00:00
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pub_type： 历史文章,杂志文章,评审
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更新日期：2018-09-01 00:00:00
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更新日期：2017-05-01 00:00:00
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更新日期：2003-05-01 00:00:00
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pub_type： 杂志文章
doi：10.1370/afm.997
更新日期：2009-09-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2013-09-01 00:00:00
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更新日期：2003-07-01 00:00:00
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更新日期：2012-11-01 00:00:00
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pub_type： 杂志文章
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更新日期：2020-11-01 00:00:00
