title: Ethnic differences in the demand for physician and hospital utilization among older adults in major American cities: conspicuous evidence of considerable inequalities.
abstract: Reinterpreting ethnicity's role in the prevailing behavioral model of health services usage reveals among older Americans a patient pattern of inequality favoring the Anglo-American population. Demand for hospital and physicians' care among minority elderly is far more constrained and sensitive to health needs than it is for their Anglo-American counterparts. The findings underscore the importance of examining ethnic differences in determinants of health behavior as well as in health service utilization. Such results also appear to strengthen the grounds for developing new programs aimed at eliminating inequalities of access to health care that older members of minorities now face.
authors.affiliation: Texas A & M University.
authors.forename: F D
authors.initials: FD
authors.lastname: Wolinsky
authors.forename: B E
authors.initials: BE
authors.lastname: Aguirre
authors.forename: L J
authors.initials: LJ
authors.lastname: Fann
authors.forename: V M
authors.initials: VM
authors.lastname: Keith
authors.forename: C L
authors.initials: CL
authors.lastname: Arnold
authors.forename: J C
authors.initials: JC
authors.lastname: Niederhauer
authors.forename: K
authors.initials: K
authors.lastname: Dietrich
mesh_terms: D001741:Black or African American; D000368:Aged / Q000523:psychology*; D000369:Aged, 80 and over; D005006:Ethnicity; D005260:Female; D015438:Health Behavior; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006302:Health Services Research / Q000706:statistics & numerical data*; D006630:Hispanic or Latino; D006761:Hospitals / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D009819:Office Visits / Q000706:statistics & numerical data; D010342:Patient Acceptance of Health Care; D014481:United States; D044465:White People