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March 1988 (Volume 66)
Quarterly Article
Donald L. Patrick
Jane Stein
Miquel Porta
Carol Q. Porter
Thomas C. Ricketts
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Access to health services for everyone has been a major policy goal in the United States: inequitable access is assumed to lead to inequitable health status, particularly for low-income groups. A sophisticated model of the relation between poverty, health care needs, service use, and health outcomes is used to analyze cross-sectional data on 7,823 adults from 36 rural communities. Improved access and use are helpful, but evidence clearly indicates that combined health and social initiatives will be necessary to reduce inequalities in health status.
Author(s): Donald L. Patrick; Jane Stein; Miquel Porta; Carol Q. Porter; Thomas C. Ricketts
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Volume 66, Issue 1 (pages 105–136) Published in 1988