Coverage Matters Insurance and Health Care (2001) / Chapter Skim
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Appendix A: A Conceptual Framework for Evaluating the Consequences of Uninsurance: A Cascade of Effects
Appendix A: A Conceptual Framework for Evaluating the Consequences of Uninsurance: A Cascade of Effects
Pages 107-112
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Appendixes
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needs for health care, as articulated by those in need, determined by health care providers, or identified by researchers and decision makers. Arrows and spatial relationships among the boxes indicate hypothesized causal and temporal relationships.
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PANEL 2: PROCESS OF OBTAINING ACCESS TO HEALTH SERVICES The center third of Figure A.1 is based on Andersen's model of access to health care (Andersen and Davidson, 2001~. The boxes labeled "community level" and "individual and family level" each contain aggregate and individual-level variables, respectively, believed to influence how people obtain access to health care.
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The Committee focuses most of its attention on the literature concerning the processes of services delivery and the utilization of health services while recognizing that personal health practices may be influenced by insurance coverage and access to care. PANEL 3: HOW HEALTH INSU12ANCE INFLUENCES HEALTH OUTCOMES AND AFFECTS FAMILIES AND COMMUNITIES The right side of Figure A.1 describes the ways in which the Committee anticipates that health insurance status may affect the health, economic, and social characteristics of individuals, families, and communities, by means of access to and utilization of health care.
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