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Access and Utilization of Free Health Care Service: Findings from Community-Based Research

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Abstract:

With a limited welfare policy, the United States addresses the pressing issue of access to health care by supplementing care of the uninsured with volunteer health organizations. This paper presents a community-based research conducted with the Volunteers in Medicine (VIM) clinic in Bloomington, Indiana. The main objective of this research is to examine and evaluate the issue of access to health care in a unique context where a free health care clinic is available. Consistent with other research in this field, our findings show an association between several socio-demographic characteristics and usage of the VIM clinic. Findings also point to the importance of social capital and social networks. Based on these findings, we argue that the establishment of free health clinics like the VIM, are an example of first-order change - a response to a social problem within an existing framework. In this case it is the development of free health care clinics following the template of conventional health care clinics. However, this change does not address the underlying processes that shape actual access and usage. Hence, we highlight the need for second-order change that will include re-thinking the concept of the clinic to include more innovative strategies for patient recruitment.

Most Common Document Word Stems:

health (153), care (112), vim (103), servic (92), clinic (71), access (59), util (58), 1 (52), free (50), social (47), communiti (39), sampl (37), organ (30), 0 (30), use (28), respond (26), one (24), research (23), client (23), report (23), volunt (23),
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Name: American Sociological Association Annual Meeting
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MLA Citation:

Thomas, Byron., Pizmony-Levy, Oren., Wininger, Bryce. and Shaddox, Abagail. "Access and Utilization of Free Health Care Service: Findings from Community-Based Research" Paper presented at the annual meeting of the American Sociological Association Annual Meeting, Hilton San Francisco, San Francisco, CA, Aug 08, 2009 <Not Available>. 2014-11-29 <http://citation.allacademic.com/meta/p307626_index.html>

APA Citation:

Thomas, B. K., Pizmony-Levy, O. , Wininger, B. A. and Shaddox, A. M. , 2009-08-08 "Access and Utilization of Free Health Care Service: Findings from Community-Based Research" Paper presented at the annual meeting of the American Sociological Association Annual Meeting, Hilton San Francisco, San Francisco, CA Online <PDF>. 2014-11-29 from http://citation.allacademic.com/meta/p307626_index.html

Publication Type: Conference Paper/Unpublished Manuscript
Review Method: Peer Reviewed
Abstract: With a limited welfare policy, the United States addresses the pressing issue of access to health care by supplementing care of the uninsured with volunteer health organizations. This paper presents a community-based research conducted with the Volunteers in Medicine (VIM) clinic in Bloomington, Indiana. The main objective of this research is to examine and evaluate the issue of access to health care in a unique context where a free health care clinic is available. Consistent with other research in this field, our findings show an association between several socio-demographic characteristics and usage of the VIM clinic. Findings also point to the importance of social capital and social networks. Based on these findings, we argue that the establishment of free health clinics like the VIM, are an example of first-order change - a response to a social problem within an existing framework. In this case it is the development of free health care clinics following the template of conventional health care clinics. However, this change does not address the underlying processes that shape actual access and usage. Hence, we highlight the need for second-order change that will include re-thinking the concept of the clinic to include more innovative strategies for patient recruitment.


Similar Titles:
Beyond Access to Health Care: Exploring Utilization Pathways of Free Clinics in a Rural Area

Increasing Access to Mental Health Services for Latino/as: A Provider’s Network and Social Awareness Campaign


 
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