000002190 001__ 2190 000002190 005__ 20260428110243.0 000002190 0247_ $$2DOI$$a10.6083/M4VD6WQ5 000002190 037__ $$aETD 000002190 245__ $$aThe impact of medical debt on access to care: data from a low-income cohort 000002190 260__ $$bOregon Health and Science University 000002190 269__ $$a2006 000002190 336__ $$aThesis 000002190 502__ $$bM.P.H. 000002190 520__ $$aMedical debt is an increasing burden for low‑income populations and may limit access to needed health care. This study examined the relationship between medical debt and health care access among adult beneficiaries affected by changes to the Oregon Health Plan in 2003. Using baseline data from a prospective cohort study, results showed that individuals with medical debt were significantly more likely to experience unmet needs for general medical care, prescription medications, and urgent care compared to those without debt. Greater levels of debt were associated with higher odds of unmet care. These findings suggest that medical debt acts as a barrier to health care access and highlight the need for policies that reduce financial barriers for vulnerable populations. 000002190 540__ $$fCC BY 000002190 542__ $$fIn copyright - single owner 000002190 650__ $$aHealth Services Accessibility$$019904 000002190 650__ $$aMedical Indigency$$021937 000002190 650__ $$aPoverty$$024482 000002190 650__ $$aProspective Studies$$024706 000002190 650__ $$aVulnerable Populations$$034693 000002190 651__ $$aOregon$$041094 000002190 691__ $$aSchool of Medicine$$041369 000002190 692__ $$aDepartment of Public Health and Preventive Medicine$$041444 000002190 7001_ $$aPurcell, Heidi$$uOregon Health and Science University$$041354 000002190 8564_ $$90fb42b9f-baec-4a71-8ec4-62122c87552c$$s1080552$$uhttps://digitalcollections.ohsu.edu/record/2190/files/2919_etd.pdf$$ePublic$$228fcf2496afe01f10a08fc09b3ff10fc$$31 000002190 901__ $$a<p>These documents are archival records. They are retained for historical reference only. </p><p><b>Need an accessible version? Use the ‘Get Accessible Copy’ link above.</b></p> 000002190 905__ $$a/rest/prod/k0/69/87/62/k06987628 000002190 909CO $$ooai:digitalcollections.ohsu.edu:2190$$pstudent-work 000002190 956__ $$aGet Accessible Copy$$uhttps://ohsu.libwizard.com/f/requestaccessibledocument 000002190 980__ $$aTheses and Dissertations