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Care Without Coverage Too Little, Too Late (2002) / Chapter Skim
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Appendix A A Conceptual Framework for Evaluating the Consequences of Uninsurance: A Cascade of Effects
Pages 105-108

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From page 105...
... Both versions of the conceptual framework are based upon a widely employed behavioral model of access to health services that explicates the processes of health care and health-related outcomes for individuals (Andersen and Davidson, 2001)
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From page 106...
... The arrows and arrangement of the boxes in Figure A.1 indicate hypothesized causal and temporal relationships. As reflected by the figure, the relationships among factors that determine health insurance status, access to health care, and health, social, and economic outcomes are dynamic with multiple feedbacks.
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From page 107...
... the individual and to the family practices • Administrative process of Characteristics: demographic, • Utilization of health enrolling or maintaining social, economic, cultural, and services coverage geographic • Processes of services Health Outcomes for • Knowledge of eligibility delivery Need: health status perceived Individuals Need: decision to enroll or to by the individual or family • Needs maintain member and as evaluated by • Consumer satisfaction others Community Level Effects on Families Community Level • Health outcomes • Availability of employment- Resources: health policies, • Childhood development based, public, and private how services are organized, • Economic effects coverage how services are financed Characteristics: demographic, social, economic, cultural, and geographic Effects on Communities Needs: as identified by public • Economic effects or population health indicators • Population health measures • Health care institutions FIGURE A.1 A conceptual framework for evaluating the consequences of uninsurance. NOTE: Italics indicate terms that include direct measures of health insurance coverage.
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Key Terms

  • insurance status
  • health insurance
  • obtain health
  • predispose action
  • overall model

  • community characteristics
  • economic outcomes
  • employed behavioral
  • behavioral model
  • outcome variable

  • model begins
  • obtaining access
  • economic determinants
  • determine health
  • multiple feedbacks

  • health status
  • widely employed
  • compressed form
  • independent variable
  • discussed earlier

  • primarily economic
  • health care
  • conceptual framework
  • health outcomes
  • health services

  • increasingly larger
  • indicate hypothesized
  • various reports
  • decision makers
  • effects cascade


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