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December 1989 (Volume 67)
Fredric D. Wolinsky
Benigno E. Aguirre
Verna M. Keith
Connie L. Arnold
John C. Niederhauer
Milbank Memorial Fund
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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.
Author(s): Fredric D. Wolinsky; Benigno E. Aguirre; Lih-Jiuan Fann; Verna M. Keith; Connie L. Arnold; John C. Niederhauer; Kathy Dietrich
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Volume 67, Issue 4 (pages 412–449) Published in 1989
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The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, historical, legal, and ethical dimensions of health and health care policy.