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The timing of preventive services for women and children: The effect of having a usual source of care

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  • Ettner, S.L.

Abstract

Objectives. This study investigated the causal effect of having a usual source of medical care on the timing of preventive services by women and children. Methods. Data on 17 110 children and 23 488 women from the 1988 and 1990 National Health Interview Surveys were used to estimate ordered probit models of the effect of having a usual source of medical care on the time since the last receipt of each preventive service (routine checkups for children; blood pressure checks, Pap smears, and breast exams for adult women; mammograms for older women). Two-stage instrumental variables methods were used to eliminate simultaneity bias. Results. The existence of a usual source of medical care was strongly correlated with the earlier receipt of preventive services, and the relationship appears to be causal for Pap smears, breast exams, and mammograms. However, there was little evidence that having a regular provider caused an increased rate of routine checkups for children or blond pressure checks for adult women. Conclusions. Delivery systems that encourage the development of long-term relationships with medical providers may increase cancer screening rates among women.

Suggested Citation

  • Ettner, S.L., 1996. "The timing of preventive services for women and children: The effect of having a usual source of care," American Journal of Public Health, American Public Health Association, vol. 86(12), pages 1748-1754.
    • Handle: RePEc:aph:ajpbhl:1996:86:12:1748-1754_3
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    1. repec:mpr:mprres:6856 is not listed on IDEAS
    2. Godwin S Ashiabi & Keri K O'Neal, 2007. "Children's Health Status: Examining the Associations among Income Poverty, Material Hardship, and Parental Factors," PLOS ONE, Public Library of Science, vol. 2(9), pages 1-9, September.
    3. Sandra Decker, 2007. "Medicaid physician fees and the quality of medical care of Medicaid patients in the USA," Review of Economics of the Household, Springer, vol. 5(1), pages 95-112, March.
    4. Gulshan Sharma & Yue Wang & James E Graham & Yong-Fang Kuo & James S Goodwin, 2013. "Provider Continuity Prior to the Diagnosis of Advanced Lung Cancer and End-of-Life Care," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-7, September.
    5. Averett, Susan L. & Smith, Julie K. & Wang, Yang, 2019. "Minimum Wages and the Health and Access to Care of Immigrants' Children," IZA Discussion Papers 12606, Institute of Labor Economics (IZA).
    6. Shooshan Danagoulian & Daniel Grossman & David Slusky, 2022. "Health Care Following Environmental Disasters: Evidence from Flint," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 41(4), pages 1060-1089, September.

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