The Impact of the NHSC on the Utilization of Physician Services and on Health Status in Rural Areas
利用1978年健康访谈调查数据,分析国家卫生服务团对农村地区医生服务利用和健康状况的影响,发现对儿童有微弱正面影响,但对成年男女无显著结论。
In this paper we present the results of an analysis of the impact of the National Health Service Corps (NHSC) on the utilization of physician services and on health status in rural areas, using Health Interview Survey (HIS) data for 1978. Because county identifiers were available to us for the study, we were able to link the HIS data to aggregate county data and to control for characteristics of the market for physicians' services in the individual's area of residence, including whether or not the individual was nearby to an NHSC site. Although weak evidence of a favorable NHSC impact is found for children, on balance, there is no conclusive evidence in either direction for men or women. Differences in neither income level nor race are found to be strongly associated with differences in utilization or in the number of bed days.