Actuarial Outpost
 
Go Back   Actuarial Outpost > Actuarial Discussion Forum > Health - Disability
FlashChat Actuarial Discussion Preliminary Exams CAS/SOA Exams Cyberchat Around the World Suggestions



Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 04-19-2019, 04:45 PM
kernel's Avatar
kernel kernel is online now
Member
SOA
 
Join Date: Mar 2010
Posts: 832
Question Studies on Access to Healthcare?

Are there standard metrics that health actuaries use to measure how easy/hard it is for a personal to access medical care? I'm trying to think of ways to study the impacts of rural vs urban have on utilization values.

I appreciate any metrics or studies that folks share.
Reply With Quote
  #2  
Old 05-14-2019, 01:20 PM
kooky cookie kooky cookie is offline
Member
 
Join Date: Oct 2001
Posts: 121
Default

This is a huge area in health services research and there are many ways of thinking about it. One way would be if there are primary care providers in the area who are accepting new patients. Lots of people look at that from the angle of whether the patient has insurance/coverage and what kind they have and whether there are doctors/clinics nearby who accept that form of insurance/coverage. I personally think that muddies the water and people are better off paying for primary care directly. But I'm an outlier.

You might start with google scholar.
Reply With Quote
  #3  
Old 05-14-2019, 03:29 PM
T-roy's Avatar
T-roy T-roy is offline
Member
SOA
 
Join Date: May 2002
College: UW Whitewater
Favorite beer: FFF GBH/NG Moon Man
Posts: 8,817
Blog Entries: 1
Default

Quest Analytics (not the lab) is what we use. I just did a kindergarten look-see through their website for articles but didn't see anything though. I would think they'd have some whitepaper.
__________________
Quote:
Originally Posted by ORLYLOL View Post
Beer is ****ing amazing
Reply With Quote
  #4  
Old 05-14-2019, 06:15 PM
Helena Lake's Avatar
Helena Lake Helena Lake is offline
Member
SOA AAA
 
Join Date: Jan 2019
Studying for Nothing ever again!
Favorite beer: Whisky
Posts: 3,308
Default

Quote:
Originally Posted by kernel View Post
Are there standard metrics that health actuaries use to measure how easy/hard it is for a personal to access medical care? I'm trying to think of ways to study the impacts of rural vs urban have on utilization values.

I appreciate any metrics or studies that folks share.
I don't know about standard metrics... but look at geo-access requirements for a starter.

If you've got access to the right kind of mapping tools, look at the travel time to key services from a given location. The miles to the nearest emergency room might be longer in a rural area... but that doesn't necessarily mean that travel time is significantly different - surface streets, stop lights, and traffic congestion can make access to an ER much harder in urban areas even if it's very close as the crow flies.

Another way to look at it is the proportion of specific services and specialties per capita. It might be relatively easy to find a primary care doctor in a rural area... but much harder to find a specialist. Someone might have their primary doctor right down the road, but have to travel into the nearest big city to find a neurologist or a good endocrinologist.

Another compounding factor is income and demographic. It's not definitive, and it varies a lot by location... but it's not uncommon for rural areas to also have substantially lower income levels, fewer cars per capita, etc. So transportation can become a more significant barrier for rural areas where mass transit isn't easily available. Additionally, due to the lower income, simple copays that seem moderate to a moderate income person can be a barrier to seeking care in a rural setting.
__________________
Quote:
Originally Posted by BernieSanders2016 View Post
I don't think calling beliefs absurd and bullshit is criticism, it's insulting.
Reply With Quote
  #5  
Old 05-15-2019, 10:02 AM
T-roy's Avatar
T-roy T-roy is offline
Member
SOA
 
Join Date: May 2002
College: UW Whitewater
Favorite beer: FFF GBH/NG Moon Man
Posts: 8,817
Blog Entries: 1
Default

We could make something up here too. It'll probably be bettr than anything I've ever seen.
__________________
Quote:
Originally Posted by ORLYLOL View Post
Beer is ****ing amazing
Reply With Quote
Reply

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off


All times are GMT -4. The time now is 05:02 PM.


Powered by vBulletin®
Copyright ©2000 - 2019, Jelsoft Enterprises Ltd.
*PLEASE NOTE: Posts are not checked for accuracy, and do not
represent the views of the Actuarial Outpost or its sponsors.
Page generated in 0.25452 seconds with 9 queries