Equity concerns with the use of hospital services by the medically vulnerable

Robert W. Broyles, Lutchmie Narine, Edward N. Brandt

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


This study assessed distributional inequities in access to care among a representative sample of adults residing in Oklahoma. Inequities were identified by comparing the medically vulnerable to the less vulnerable with respect to their use or nonuse of hospital care and, among those admitted, the number of days of care consumed. The behavioral model was employed to guide the analysis and the development of hypotheses. Controlling for need, enabling, and predisposing factors, the results indicate that the use of service by the poor, the elderly who lack supplemental insurance, and the uninsured is incongruent with their health status and that current methods of financing care may contribute to distributional inequities. The implications of these findings are discussed in the context of options that may improve access to care by the medically vulnerable.

Original languageEnglish (US)
Pages (from-to)343-360
Number of pages18
JournalJournal of Health Care for the Poor and Underserved
Issue number3
StatePublished - Aug 2000
Externally publishedYes


  • Health risks
  • Health status
  • Hospital utilization
  • Medically vulnerable
  • Uninsured

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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