Access to Health Care and Community Social Capital

MICHAEL S. HENDRYX · Melissa M. Ahern · Nicholas P. Lovrich · Arthur H. McCurdy

232 citations0/0 files storedHealth Services Research

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Health disparities and outcomes Healthcare Policy and Management Public Health and Social Inequalities

Abstract

OBJECTIVE: To test the hypothesis that variation in reported access to health care is positively related to the level of social capital present in a community. DATA SOURCES: The 1996 Household Survey of the Community Tracking Study, drawn from 22 metropolitan statistical areas across the United States (n = 19,672). Additional data for the 22 communities are from a 1996 multicity broadcast media marketing database, including key social capital indicators, the 1997 National Profile of Local Health Departments survey, and Interstudy, American Hospital Association, and American Medical Association sources. STUDY DESIGN: The design is cross-sectional. Self-reported access to care problems is the dependent variable. Independent variables include individual sociodemographic variables, community-level health sector variables, and social capital variables. DATA COLLECTION/EXTRACTION METHODS: Data are merged from the various sources and weighted to be population representative and are analyzed using hierarchical categorical modeling. PRINCIPAL FINDINGS: Persons who live in metropolitan statistical areas featuring higher levels of social capital report fewer problems accessing health care. A higher HMO penetration rate in a metropolitan statistical area was also associated with fewer access problems. Other health sector variables were not related to health care access. CONCLUSIONS: The results observed for 22 major U.S. cities are consistent with the hypothesis that community social capital enables better access to care, perhaps through improving community accountability mechanisms.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 232 citations exist upstream.

References

1993Making democracy work: civic traditions in modern Italy 1995Revisiting the Behavioral Model and Access to Medical Care: Does it Matter?1994Making Democracy Work 1988Social Relationships and Health 1973Societal and Individual Determinants of Medical Care Utilization in the United States 1994Why Are Some People Healthy and Others Not?1996The Careless Society: Community and Its Counterfeits.

Cited by

2005Social capital and mental health: An interdisciplinary review of primary evidence 2004Commentary: Reconciling the three accounts of social capital 2009Social Capital and Health Care Access 2005Neighborhood economic conditions, social processes, and self-rated health in low-income neighborhoods in Texas: A multilevel latent variables model 2006Explaining Racial and Ethnic Disparities in Health Care 2007Social Capital and Mental Health 2006Does gender modify associations between self rated health and the social and economic characteristics of local environments?

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.