HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (54) Citing Articles via Google Scholar Google Scholar Articles by DeVoe, J. E. Articles by Green, L. Search for Related Content PubMed PubMed Citation Articles by DeVoe, J. E. Articles by Green, L. Related Collections Health Care Facilities/Services Insurance Other Health Financing Access to Care Prevention

Jennifer E. DeVoe, MD, DPhil, George E. Fryer, PhD, Robert Phillips, MD, MSPH and Larry Green, MD

Jennifer E. DeVoe is with the Department of Family Medicine, Oregon Health & Science University, Portland, and the Robert Graham Center for Policy Studies in Family Practice and Primary Care, Washington, DC. George E. Fryer, Robert Phillips, and Larry Green are with the Robert Graham Center for Policy Studies in Family Practice and Primary Care, Washington, DC.

Correspondence: Requests for reprints should be sent to George E. Fryer, PhD, Robert Graham Center for Policy Studies in Family Practice and Primary Care, 1350 Connecticut Ave, NW, Suite 950, Washington, DC 20036 (e-mail: efryer{at}aafp.org).

Objectives. This study ascertained the separate and combined effects of having insurance and a usual source of care on receiving preventive services.

Methods. Descriptive and multivariate analyses of 1996 Medical Expenditure Panel Survey data were conducted.

Results. Receipt of preventive services was strongly associated with insurance and a usual source of care. Significant differences were found between insured adults with a usual source of care, who were most likely to have received services, compared with uninsured adults without regular care, who were least likely to have received services. Those with either a usual source of care or insurance had intermediate levels of preventive services.

Conclusions. Having a usual source of care and health insurance are both important to achieving national prevention goals.

This article has been cited by other articles:

				J. C Crosson, P. A Ohman-Strickland, S. Campbell, R. L Phillips, M. O Roland, E. Kontopantelis, A. Bazemore, B. Balasubramanian, and B. F Crabtree A comparison of chronic illness care quality in US and UK family medicine practices prior to pay-for-performance initiatives Fam. Pract., September 25, 2009; (2009) cmp056v2. [Abstract] [Full Text] [PDF]

				B. Starfield Commentary: How does 'insurance' improve equity in health? Int. J. Epidemiol., June 23, 2009; (2009) dyp239v1. [Full Text] [PDF]

				S. J. Atlas, R. W. Grant, T. G. Ferris, Y. Chang, and M. J. Barry Patient-Physician Connectedness and Quality of Primary Care Ann Intern Med, March 3, 2009; 150(5): 325 - 335. [Abstract] [Full Text] [PDF]

				R. L. Phillips, M. S. Dodoo, L. A. Green, G. E. Fryer, A. W. Bazemore, K. I. McCoy, and S. M. Petterson Usual Source Of Care: An Important Source Of Variation In Health Care Spending Health Aff., March 1, 2009; 28(2): 567 - 577. [Abstract] [Full Text] [PDF]

				M. Lillie-Blanton, S. Maleque, and W. Miller Reducing racial, ethnic, and socioeconomic disparities in health care: opportunities in national health reform. J. Law Med. Ethics, December 1, 2008; 36(4): 693 - 702. [PDF]

				M. F. Newton, C. C. Keirns, R. Cunningham, R. A. Hayward, and R. Stanley Uninsured Adults Presenting to US Emergency Departments: Assumptions vs Data JAMA, October 22, 2008; 300(16): 1914 - 1924. [Abstract] [Full Text] [PDF]

				J. E. DeVoe, L. S. Wallace, N. Pandhi, R. Solotaroff, and G. E. Fryer Jr Comprehending Care in a Medical Home: A Usual Source of Care and Patient Perceptions about Healthcare Communication J Am Board Fam Med, September 1, 2008; 21(5): 441 - 450. [Abstract] [Full Text] [PDF]

				X. Zhang, L. S. Geiss, Y. J. Cheng, G. L. Beckles, E. W. Gregg, and H. S. Kahn The Missed Patient With Diabetes: How access to health care affects the detection of diabetes Diabetes Care, September 1, 2008; 31(9): 1748 - 1753. [Abstract] [Full Text] [PDF]

				M. Sarfaty Quality in the Delivery of Preventive Services: The National Colorectal Cancer Roundtable American Journal of Medical Quality, March 1, 2007; 22(2): 127 - 132. [PDF]

				M. J. Carlson, J. DeVoe, and B. J. Wright Short-term impacts of coverage loss in a medicaid population: early results from a prospective cohort study of the Oregon health plan. Ann. Fam. Med, September 1, 2006; 4(5): 391 - 398. [Abstract] [Full Text] [PDF]

				D. S. Meyers, R. Mishori, J. McCann, J. Delgado, A. S. O'Malley, and E. Fryer Primary care physicians' perceptions of the effect of insurance status on clinical decision making. Ann. Fam. Med, September 1, 2006; 4(5): 399 - 402. [Abstract] [Full Text] [PDF]

				A. J. Viera, D. E. Pathman, and J. M. Garrett Adults' Lack of a Usual Source of Care: A Matter of Preference? Ann. Fam. Med, July 1, 2006; 4(4): 359 - 365. [Abstract] [Full Text] [PDF]

				C. Sanmartin, J.-M. Berthelot, E. Ng, K. Murphy, D. L. Blackwell, J. F. Gentleman, M. E. Martinez, and C. M. Simile Comparing health and health care use in Canada and the United States. Health Aff., July 1, 2006; 25(4): 1133 - 1142. [Abstract] [Full Text] [PDF]

				J. S. Ross, E. H. Bradley, and S. H. Busch Use of health care services by lower-income and higher-income uninsured adults. JAMA, May 3, 2006; 295(17): 2027 - 2036. [Abstract] [Full Text] [PDF]

				S. T. Callahan and W. O. Cooper Access to Health Care for Young Adults With Disabling Chronic Conditions Arch Pediatr Adolesc Med, February 1, 2006; 160(2): 178 - 182. [Abstract] [Full Text] [PDF]

				L. C. Harlan, A. L. Greene, L. X. Clegg, M. Mooney, J. L. Stevens, and M. L. Brown Insurance Status and the Use of Guideline Therapy in the Treatment of Selected Cancers J. Clin. Oncol., December 20, 2005; 23(36): 9079 - 9088. [Abstract] [Full Text] [PDF]

				B. J. Wright, M. J. Carlson, T. Edlund, J. DeVoe, C. Gallia, and J. Smith The Impact Of Increased Cost Sharing On Medicaid Enrollees Health Aff., July 1, 2005; 24(4): 1106 - 1116. [Abstract] [Full Text] [PDF]

				S. T. Callahan and W. O. Cooper Uninsurance and Health Care Access Among Young Adults in the United States Pediatrics, July 1, 2005; 116(1): 88 - 95. [Abstract] [Full Text] [PDF]

				M. Lillie-Blanton and C. Hoffman The Role Of Health Insurance Coverage In Reducing Racial/Ethnic Disparities In Health Care Health Aff., March 1, 2005; 24(2): 398 - 408. [Abstract] [Full Text] [PDF]

				C. J. Bradley, C. W. Given, and C. Roberts Health Care Disparities and Cervical Cancer Am J Public Health, December 1, 2004; 94(12): 2098 - 2103. [Abstract] [Full Text] [PDF]

				B. M. Schanzer and J. A. Morgan INDIGENT MEN'S USE OF EMERGENCY DEPARTMENTS OVER PRIMARY CARE SETTINGS Am J Public Health, June 1, 2004; 94(6): 906 - 907. [Full Text] [PDF]