Women's Health USA 2003

Text: Maternal and Child Health Bureau

HEALTH SERVICES UTLIZATION

 63

 


USUAL SOURCE OF CARE

A usual source of care has been positively associated with receipt of preventive care,1,2 access to care,3 continuity of care, decreased hospitalization, and lower health care costs.4 Although 90.8 percent of women reported having a place they usually go to when they are sick or need advice on health in 2001, this was lowest among women aged 18-24 (82.0 percent). The proportion of women with a usual source of care increased with age, with nearly all (96.7 percent) women aged 65 and older having a usual source of care.

Though most women across racial and ethnic groups had an office-based usual source of care, non-Hispanic White women were more likely to have office-based care than women in other racial/ethnic groups in 2000. Non-Hispanic Black women were more likely to use a hospital outpatient department or emergency room for their usual source of care than other groups. Hispanic women were most likely to lack a usual source of care (20.8 percent) and, non-Hispanic White women were most likely to have a usual source of care (92.6 percent).


Women Aged 18 and Older with a Usual Source of Care, by Age, 2001 [d]


Usual Source of Care for Women Aged 18 and Older, by Race/Ethnicity, 2001 [d]


1Ettner SL: The relationship between continuity of care and the health behaviors of patients: Does a usual physician make a difference? Medical Care 37(6): 547-55, 1999. [Back to Text]

2Ettner SL: The timing an preventive services for women and children: The effect of having a usual source of care. American Journal of Public Health 86(12):1748-54, 1996. [Back to Text]

3Sox CM, Swartz K, Burstin HR, Brennan TA: Insurance or a regular physician: Which is the most powerful predictor of health care? American Journal of Public Health 88(3):364-70, 1998. [Back to Text]

4Weiss LJ, Blustein J: Faithful patients: The effect of long-term physician-patient relationships on the cost and use of health care by older Americans. American Journal of Public Health 86(12):1747-7, 1996. [Back to Text]


  Logo: Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human ServicesLogo: U.S. Department of Health and Human Services