USE OF HEALTH CARE BY URBAN AMERICAN INDIANS IN MICHIGAN (MEDICINE, ACCESSIBILITY, CULTURAL AFFILIATION).
University of MICHIGAN, 1985 - 259 pages
American Indians tend to use fewer medical services than does the general population, despite a higher level of need, and little is known about the utilization behavior of urban Indians. The purposes of this study are: (1) to identify some of the factors that influence the use of Anglo medical care (AMC) and traditional Indian medical care (TIMC) among Michigan urban Indians and (2) to determine the relationship between their use of the two systems of health care. The data were obtained from a
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Use of Health Services
C0NCEPTUAL M0DEL 0F UTILIZATI0N
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acceptability of Anglo accessibility of Anglo affiliation with Indian amount of AMC Anglo medical Attitudes Toward Doctor blood quantum correlation cultural affiliation cultural attributes dependent variable disability doctor visits families reported family members Gamma greater health services Hypothesis included income Indian activities Indian culture Indian Health Indian Health Service Indian language Indian medicine Indian religion Indians in Michigan Indians living level of need logit analysis Mann-Whitney measures of accessibility measures of AMC medical care TIMC modes of TIMC NAIA Native Americans NS 1 NS NS 2 NS NS 4 NS number of doctor number of modes number of visits ObjWtAppt ObjWtOfc participation in Indian percent positively related proportion of family relationship reservation sample SatCost satisfaction with doctor SatWtAppt significant statistically stepwise regression Suchman systems of health Total Traditional Indian Medical U.S. population urban American Indians urban areas urban Indian families utilization model variable Wayne County XXXXXX