ERIC Number: ED441909
Record Type: RIE
Publication Date: 2000-May
Reference Count: N/A
Rural/Urban Differences in Health Care Are Not Uniform across States. New Federalism: National Survey of America's Families, Series B, No. B-11. Assessing the New Federalism: An Urban Institute Program To Assess Changing Social Policies.
Ormond, Barbara A.; Zuckerman, Stephen; Lhila, Aparna
This study examined differences in health care access and utilization in urban; rural, adjacent; and rural, nonadjacent areas. Data came from the National Survey of American Families, a survey of children and adults under age 65 in over 44,000 households which provides representative information on the nonelderly population for 13 states and the nation overall. This study used data on Alabama, Colorado, Michigan, Minnesota, Mississippi, Texas, Washington, and Wisconsin. Data show that national patterns may not necessarily be reflected in all states, and some states may have problem areas not apparent in national statistics. According to the results, rural areas are poorer than urban ones, and the more isolated the rural area, the greater the degree of poverty. Results are presented for insurance coverage, health status, health care visits, lack of confidence in getting needed care, and state profiles. Overall, the study confirmed many of the rural health care problems that have been identified elsewhere (e.g., low incomes, inadequate insurance coverage, health problems, and lower rates of service use). States varied significantly in the severity of the problems. (SM)
Descriptors: Access to Health Care, Health Insurance, Health Services, Poverty, Rural Areas, Rural Urban Differences, Urban Areas
Urban Institute, 2100 M Street, N.W., Washington DC 20037. Tel: 202-833-7200; Fax: 202-429-0687; e-mail: firstname.lastname@example.org; Web site: http://www.urban.org.
Publication Type: Reports - Research
Education Level: N/A
Sponsor: Annie E. Casey Foundation, Baltimore, MD.; Kellogg Foundation, Battle Creek, MI.; Robert Wood Johnson Foundation, Princeton, NJ.; Henry J. Kaiser Family Foundation, Menlo Park, CA.; Ford Foundation, New York, NY.; John D. and Catherine T. MacArthur Foundation, Chicago, IL.; Mott (C.S.) Foundation, Flint, MI.; David and Lucile Packard Foundation, Los Altos, CA.; McKnight Foundation, Minneapolis, MN.; Commonwealth Fund, New York, NY.; Weingart Foundation, Los Angeles, CA.; Fund for New Jersey, East Orange.; Lynde and Harry Bradley Foundation, Milwaukee, WI.; Joyce Foundation, Chicago, IL.; Rockefeller Foundation, New York, NY.
Authoring Institution: Urban Inst., Washington, DC.
Note: Funding also provided by the Stuart Foundation.