Abstract
A representative sample of 218 migrant farm workers was randomly drawn in Wayne County, NY, during the summer of 1982. Three distinct migrant groups were identified: immigrants, recent migrants, and long-term migrants. Medical utilization patterns, including physician visits and use of medical services in the community health center, were compared among the three migrant groups. The determinants of physician visits were examined in a multiple regression model. The focus was also placed on types of health problems for which medical treatment had been delayed, and the reasons for the delay were clearly identified. Furthermore, this study examined migrants' subjective assessment of quality of health care in the community. The results of this study indicate that the provision of comprehensive health programs, removal of structural barriers in the health delivery system, and a program of migrant health education are the necessary steps to alter the medical utilization behavior of migrant farm workers.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Aday L. A., Andersen R. A framework for the study of access to medical care. Health Serv Res. 1974 Fall;9(3):208–220. [PMC free article] [PubMed] [Google Scholar]
- Andersen R., Newman J. F. Societal and individual determinants of medical care utilization in the United States. Milbank Mem Fund Q Health Soc. 1973 Winter;51(1):95–124. [PubMed] [Google Scholar]
- Anderson W. W., Kane R. L. Patterns of care given migrant workers in Utah by private physicians and clinics. Public Health Rep. 1977 Jul-Aug;92(4):326–331. [PMC free article] [PubMed] [Google Scholar]
- Bice T. W., White K. L. Factors related to the use of health services: an international comparative study. Med Care. 1969 Mar-Apr;7(2):124–133. doi: 10.1097/00005650-196903000-00006. [DOI] [PubMed] [Google Scholar]
- Brook R. H., Ware J. E., Jr, Rogers W. H., Keeler E. B., Davies A. R., Donald C. A., Goldberg G. A., Lohr K. N., Masthay P. C., Newhouse J. P. Does free care improve adults' health? Results from a randomized controlled trial. N Engl J Med. 1983 Dec 8;309(23):1426–1434. doi: 10.1056/NEJM198312083092305. [DOI] [PubMed] [Google Scholar]
- CHAPMAN A. L. MIGRANT HEALTH PROJECT IN PENNSYLVANIA, 1963. Public Health Rep. 1964 Jul;79:561–566. [PMC free article] [PubMed] [Google Scholar]
- Coburn D., Pope C. R. Socioeconomic status and preventive health behavior. J Health Soc Behav. 1974 Jun;15(2):67–78. [PubMed] [Google Scholar]
- Davis K., Marshall R. New developments in the market for rural health care. Res Health Econ. 1979;1:57–110. [PubMed] [Google Scholar]
- Dutton D. B. Explaining the low use of health services by the poor: costs, attitudes, or delivery systems? Am Sociol Rev. 1978 Jun;43(3):348–368. [PubMed] [Google Scholar]
- Fabrega H., Jr, Roberts R. E. Ethnic differences in the outpatient use of a public-charity hospital. Am J Public Health. 1972 Jul;62(7):936–941. doi: 10.2105/ajph.62.7.936. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gochman D. S. The organizing role of motivation in health beliefs and intentions. J Health Soc Behav. 1972 Sep;13(3):285–293. [PubMed] [Google Scholar]
- Greenlick M. R., Freeborn D. K., Colombo T. J., Prussin J. A., Saward E. W. Comparing the use of medical care services by a medically indigent and a general membership population in a comprehensive prepaid group practice program. Med Care. 1972 May-Jun;10(3):187–200. doi: 10.1097/00005650-197205000-00001. [DOI] [PubMed] [Google Scholar]
- Harkness J. P., Dougherty W. J. A summer migrant health project organized and conducted by medical students. IMS Ind Med Surg. 1968 Jun;37(6):433–437. [PubMed] [Google Scholar]
- Hoppe S. K., Heller P. L. Alienation, familism and the utilization of health services by Mexican Americans. J Health Soc Behav. 1975 Sep;16(3):304–314. [PubMed] [Google Scholar]
- Johnston H. L., Crawford C. Cooperative rural health education. Potentials for interstate, interagency cooperation. Health Educ Monogr. 1975 Spring;3(1):44–49. doi: 10.1177/109019817500300107. [DOI] [PubMed] [Google Scholar]
- Lentz J. C., Jr Cooperative rural health education. The road ahead - challenges for cooperative action. Health Educ Monogr. 1975 Spring;3(1):115–119. doi: 10.1177/109019817500300115. [DOI] [PubMed] [Google Scholar]
- McNerney W. J. Educating the public about health. The missing link in health services. J Med Educ. 1975 Jan;50(1):11–23. doi: 10.1097/00001888-197501000-00002. [DOI] [PubMed] [Google Scholar]
- Okada L. M., Sparer G. Access to usual source of care by race and income in ten urban areas. J Community Health. 1976 Spring;1(3):163–174. doi: 10.1007/BF01323107. [DOI] [PubMed] [Google Scholar]
- Okada L. M., Wan T. T. Impact of community health centers and Medicaid on the use of health services. Public Health Rep. 1980 Nov-Dec;95(6):520–534. [PMC free article] [PubMed] [Google Scholar]
- Purola T. A systems approach to health and health policy. Med Care. 1972 Sep-Oct;10(5):373–379. doi: 10.1097/00005650-197209000-00001. [DOI] [PubMed] [Google Scholar]
- Rosenstock I. M. Why people use health services. Milbank Mem Fund Q. 1966 Jul;44(3 Suppl):94–127. [PubMed] [Google Scholar]
- Rudd P. The United Farm Workers clinic in Delano, Calif.: a study of the rural poor. Public Health Rep. 1975 Jul-Aug;90(4):331–339. [PMC free article] [PubMed] [Google Scholar]
- Slesinger D. P., Cautley E. Medical utilization patterns of Hispanic migrant farmworkers in Wisconsin. Public Health Rep. 1981 May-Jun;96(3):255–263. [PMC free article] [PubMed] [Google Scholar]
- Smith D. B., Kaluzny A. D. Inequality in health care programs: a note on some structural factors affecting health care behavior. Med Care. 1974 Oct;12(10):860–870. doi: 10.1097/00005650-197410000-00005. [DOI] [PubMed] [Google Scholar]
- Snyder L. J. Rural health education - an idea whose time has come. Health Educ Monogr. 1975 Spring;3(1):6–11. doi: 10.1177/109019817500300102. [DOI] [PubMed] [Google Scholar]
- Wan T. H., Soifer S. J. Determinants of physician utilization: a causal analysis. J Health Soc Behav. 1974 Jun;15(2):100–108. [PubMed] [Google Scholar]
- Weiss J. E., Greenlick M. R. Determinants of medical care utilization: the effect of social class and distance on ontacts with the medical care system. Med Care. 1970 Nov-Dec;8(6):456–462. [PubMed] [Google Scholar]
- Williams A. P., Schwartz W. B., Newhouse J. P., Bennett B. W. How many miles to the doctor? N Engl J Med. 1983 Oct 20;309(16):958–963. doi: 10.1056/NEJM198310203091606. [DOI] [PubMed] [Google Scholar]
- Wolinsky F. D. Health service utilization and attitudes toward Health Maintenance Organizations: a theoretical and methodological discussion. J Health Soc Behav. 1976 Sep;17(3):221–236. [PubMed] [Google Scholar]
- Yelin E. H., Kramer J. S., Epstein W. V. Is health care use equivalent across social groups? A diagnosis-based study. Am J Public Health. 1983 May;73(5):563–571. doi: 10.2105/ajph.73.5.563. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zastowny T. R., Roghmann K. J., Hengst A. Satisfaction with medical care: replications and theoretic reevaluation. Med Care. 1983 Mar;21(3):294–322. doi: 10.1097/00005650-198303000-00004. [DOI] [PubMed] [Google Scholar]
- Zola I. K. Culture and symptoms--an analysis of patients' presenting complaints. Am Sociol Rev. 1966 Oct;31(5):615–630. [PubMed] [Google Scholar]