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May 2003, Vol 93, No. 5 | American Journal of Public Health 786-791
© 2003 American Public Health Association


RESEARCH AND PRACTICE

Receipt of Preventive Care Among Adults: Insurance Status and Usual Source of Care

Jennifer E. DeVoe, MD, DPhil, George E. Fryer, PhD, Robert Phillips, MD, MSPH and Larry Green, MD

Jennifer E. DeVoe is with the Department of Family Medicine, Oregon Health & Science University, Portland, and the Robert Graham Center for Policy Studies in Family Practice and Primary Care, Washington, DC. George E. Fryer, Robert Phillips, and Larry Green are with the Robert Graham Center for Policy Studies in Family Practice and Primary Care, Washington, DC.

Correspondence: Requests for reprints should be sent to George E. Fryer, PhD, Robert Graham Center for Policy Studies in Family Practice and Primary Care, 1350 Connecticut Ave, NW, Suite 950, Washington, DC 20036 (e-mail: efryer{at}aafp.org).

Objectives. This study ascertained the separate and combined effects of having insurance and a usual source of care on receiving preventive services.

Methods. Descriptive and multivariate analyses of 1996 Medical Expenditure Panel Survey data were conducted.

Results. Receipt of preventive services was strongly associated with insurance and a usual source of care. Significant differences were found between insured adults with a usual source of care, who were most likely to have received services, compared with uninsured adults without regular care, who were least likely to have received services. Those with either a usual source of care or insurance had intermediate levels of preventive services.

Conclusions. Having a usual source of care and health insurance are both important to achieving national prevention goals.




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