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Text
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URL Address
<a href="http://doi.org/10.1089/pop.2014.0128" target="_blank" rel="noreferrer noopener">http://doi.org/10.1089/pop.2014.0128</a>
Pages
358–366
Issue
5
Volume
18
Dublin Core
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Title
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Associations between Difficulty Paying Medical Bills and Forgone Medical and Prescription Drug Care.
Publisher
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Population Health Management
Date
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2015
2015-10
Subject
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*Fees; *Health Expenditures; *Health Services Accessibility; *Patient Compliance; *Prescription Fees; Adult; Aged; Bisexuals; Cross-Sectional Studies; Debt; Drug; Family Health; Female; Financial; Health Status; Health Surveys; Homeless Persons; Humans; Male; Medical; Middle Aged; Ohio; Population Characteristics; Prescriptions; Socioeconomic Factors; Special Populations; Young Adult
Creator
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Baughman Kristin R; Burke Ryan C; Hewit Michael S; Sudano Joseph J; Meeker James; Hull Sharon K
Description
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Problems paying medical bills have been reported to be associated with increased stress, bankruptcy, and forgone medical care. Using the Behavioral Model for Vulnerable Populations developed by Gelberg et al as a framework, as well as data from the 2010 Ohio Family Health Survey, this study examined the relationships between difficulty paying medical bills and forgone medical and prescription drug care. Logistic regression was used to examine associations between difficulty paying medical bills and predisposing, enabling, need (health status), and health behaviors (forgoing medical care). Difficulty paying medical bills increased the effect of lack of health insurance in predicting forgone medical care and had a conditional effect on the association between education and forgone prescription drug care. Those who had less than a bachelor's degree were more likely to forgo prescription drug care than those with a bachelor's degree, but only if they had difficulty paying medical bills. Difficulty paying medical bills also accounted for the relationships between several population characteristics (eg, age, income, home ownership, health status) in predicting forgone medical and prescription drug care. Policies to cap out-of-pocket medical expenses may mitigate health disparities by addressing the impact of difficulty paying medical bills on forgone care.
Identifier
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<a href="http://doi.org/10.1089/pop.2014.0128" target="_blank" rel="noreferrer noopener">10.1089/pop.2014.0128</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Fees
*Health Expenditures
*Health Services Accessibility
*Patient Compliance
*Prescription Fees
2015
Adult
Aged
Baughman Kristin R
Bisexuals
Burke Ryan C
Cross-Sectional Studies
debt
Department of Family & Community Medicine
Drug
Family Health
Female
Financial
Health Status
Health Surveys
Hewit Michael S
Homeless Persons
Hull Sharon K
Humans
Male
Medical
Meeker James
Middle Aged
NEOMED College of Medicine
Ohio
Population Characteristics
Population health management
Prescriptions
Socioeconomic Factors
Special Populations
Sudano Joseph J
Young Adult