The effect of community uninsurance rates on access to health care.

ABSTRACT:

Objective

To investigate the effect of local uninsurance rates on access to health care for the uninsured and insured and improve on recent studies by controlling for time-invariant differences across markets.

Data sources

Individual-level data from the 1996 and 2003 Community Tracking Study, and market-level data from other sources, including the Area Resource File and the Bureau of Primary Healthcare.

Study design

Market-level fixed effects models estimate the effect of changes in uninsurance rates within markets on access to care, measured by whether individuals report forgoing necessary care. Instrumental variables models are also estimated.

Principal findings

Increases in the rate of uninsurance are associated with poorer access to necessary care among the

SUBMITTER: Sabik LM 

PROVIDER: S-EPMC3423180 | biostudies-literature | 2012 Jun

REPOSITORIES: biostudies-literature