Search PubMed⌕ Search

Biomedical subjects

S B Greene

Publications and source records attributed to S B Greene.

25 records · Page 2Linked to original sources
PubMed1978

Distribution of illnesses and its implications in a rural community.

This study is a continuation of a series of reports on the utilization of health care services in a southern rural community. In this investigation the distribution of the utilization of medical care services is assessed with respect to reported illnesses and related disabilities. It is found that whites report significantly more illnesses, disabilities and physicians visits than blacks. Furthermore, even when controlling for disability and illness, whites use more physician services than blacks. The differential in utilization may be due to varying interpretations of the survey questions possibly reflecting different cultures and lifestyles and/or dissimilar expectations of the health care system in blacks having experienced greater barriers to access in the past.

Adolescent↗
PubMed1978

Demand for medical care in a rural setting: racial comparisons.

Household data from a southern rural community are used to examine racial differences in the utilization of medical care services, and both monetary and nonmonetary determinants of demand are considered. Regression analysis results indicate that office waiting time (for black households) and travel time to the provider (for both black and white households) have a greater impact on demand than price. Racial differences exist in the effects of health insurance coverage and household income on household medical visit expenditures, and both need and household size are found to be consequential determinants of demand.

Black or African American↗
PubMed1977

Hospitalizations in a southern rural community: an application of the 'ecology model'.

The purpose of this study is to re-examine the concepts of health services utilization presented by White and his colleagues in 'The Ecology of Medical Care'. We re-test their model in a rural population in the southern United States using longitudinal instead of cross-sectional data and find that the general principles of the 'Ecology' model do, indeed, apply to rural populations like Rougemont/Bahama. Use of this model has implications for modifying and improving the organization of the health care delivery system and for a fundamental change of emphasis in medical education.

Adolescent↗
PubMed1977

Pro Bono Publico--a century later.

From the introduction of Pro Bono Publico smoking tobacco in Durham, NC a century ago, the production of tobacco products has become a vital part of the state's economy. How this may relate to the smoking behavior, and consequently to the health of its residents is assessed from smoking patterns of adult residents of a rural area of Durham County. Male smoking rates are considerably higher than U.S. estimates whereas female rates are lower. The national trend of increasing incidence of lung cancer can be expected to continue in North Carolina and may be even greater due to the high rate of smoking.

Adolescent↗
PubMed1976

Access to health care in a southern rural community.

This case study of utilization of health care services in a rural southern community is the first of a series of reports dealing with access to care in this community. The most striking findings were the low utilization of physician and dental services compared with national standards (particularly by the black population) and the infrequent use of private physicians by blacks. Possible explanations for these findings are the short time interval since integration of services after Medicare and Medicaid legislation, the short supply of primary care physicians, especially black, in this community, and the reluctance of white physicians to accept Medicaid patients. We postulate that while employment and social mobility have improved greatly for blacks, established methods of medical and dental practice have changed slowly.

Adolescent↗