Access to Hypertensive Care: Effects of Income, Insurance, and Source of Care

doi:10.1001/archinte.1995.00430140063005

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Vol. 155 No. 14, 24 JULY 1995

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Access to Hypertensive Care

Effects of Income, Insurance, and Source of Care

Ernest Moy, MD, MPH; Barbara A. Bartman, MD, MPH; Matthew R. Weir, MD

Arch Intern Med. 1995;155(14):1497-1502.

Abstract

Background
This study examines the relationship between income, healthinsurance, and usual source of care characteristics and screeningand management of hypertension.

Methods
This is a secondary analysis of data from the 1987 NationalMedical Expenditure Survey. Adult survey respondents constitutea sample representative of the total adult noninstitutionalizedUS population. Screening, follow-up care, and pharmacologictreatment for hypertension were examined among low income individuals,the uninsured, those without a usual source of care place, andthose without a particular usual source of care physician.

Results
The uninsured, individuals without a usual source of care place,and those without a particular usual source of care physicianreceived less screening, follow-up care, and pharmacologic treatmentfor hypertension. Income did not affect receipt of hypertensivecare.

Conclusions
Lack of health insurance and lack of a usual source of careare barriers to hypertensive care. Policies that increase accessto health insurance or to usual source of care physicians mayenable more individuals to attain control of hypertension.

(Arch Intern Med. 1995;155:1497-1502)

Author Affiliations

From the Divisions of General Internal Medicine (Drs Moy and Bartman) and Nephrology (Dr Weir), Departments of Medicine (Drs Moy, Bartman, and Weir) and Epidemiology and Preventive Medicine (Dr Bartman), University of Maryland School of Medicine, and the Veterans Affairs Medical Center (Drs Moy and Bartman), Baltimore, Md.

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