Cited by 689Health disparities and outcomesPublic Health and Social InequalitiesHealthcare Policy and Management

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Measures of Social Deprivation That Predict Health Care Access and Need within a Rational Area of Primary Care Service Delivery

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Butler, Danielle C., Petterson, Stephen, Phillips, Robert L., Bazemore, Andrew W.·2013·Health Services Research

DOI 10.1111/j.1475-6773.2012.01449.xPMC PMC3626349

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Abstract

Objective: To develop a measure of social deprivation that is associated with health care access and health outcomes at a novel geographic level, primary care service area. Data Sources/Study Setting: Secondary analysis of data from the D artmouth A tlas, AMA M asterfile, N ational P rovider I dentifier data, S mall A rea H ealth I nsurance E stimates, A merican C ommunity S urvey, A rea R esource F ile, and B ehavioural R isk F actor S urveillance S ystem. Data were aggregated to p rimary c are s ervice a reas ( PCSAs ). Study Design: Social deprivation variables were selected from literature review and international examples. Factor analysis was used. Correlation and multivariate analyses were conducted between index, health outcomes, and measures of health care access. The derived index was compared with poverty as a predictor of health outcomes. Data Collection/Extraction Methods: Variables not available at the PCSA level were estimated at block level, then aggregated to PCSA level. Principal Findings: Our social deprivation index is positively associated with poor access and poor health outcomes. This pattern holds in multivariate analyses controlling for other measures of access. A multidimensional measure of deprivation is more strongly associated with health outcomes than a measure of poverty alone. Conclusions: This geographic index has utility for identifying areas in need of assistance and is timely for revision of 35‐year‐old provider shortage and geographic underservice designation criteria used to allocate federal resources.

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Authors: Butler, D. C., Petterson, S., Phillips, R. L., & Bazemore, A. W.
Affiliations: Australian National University (AU)
American Academy of Family Physicians (US)
Corresponding author: Butler, Danielle C.
ORCID: Butler, Danielle C.
Petterson, Stephen
Phillips, Robert L.
Bazemore, Andrew W.
Venue: Health Services Research
Publisher: Wiley
Published: 2012-07-20
Volume: 48
Issue: 2pt1
Pages: 539-559
ISSN: 0017-9124 (ISSN-L)
1475-6773
DOI: 10.1111/j.1475-6773.2012.01449.x
PMC: PMC3626349
OpenAlex: W2077385536
Cited by: 689
References: 27
Citations by year: 2026: 91 · 2025: 142 · 2024: 124 · 2023: 107 · 2022: 84 · 2021: 50 · 2020: 29 · 2019: 16 · 2018: 13 · 2017: 3 · 2016: 14 · 2015: 6 · 2014: 5 · 2013: 5
FWCI: 5.86
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Health Services Research (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
ANU Open Research (Australian National University) (submittedVersion)
Topics: Social Sciences › Health › Health disparities and outcomes
Social Sciences › Health › Public Health and Social Inequalities
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
Keywords: social deprivation, social deprivation index, health care access, health outcomes, geographic variation in health care, poverty, healthcare resource allocation
MeSH terms: Diabetes Mellitus, Health Services Accessibility, Humans, Infant Mortality, Infant, Low Birth Weight, Infant, Newborn, Mortality, Primary Health Care, Socioeconomic Factors, Needs Assessment, Vulnerable Populations

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Measures of Social Deprivation That Predict Health Care Access and Need within a Rational Area of Primary Care Service Delivery

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