000000711 001__ 711 000000711 005__ 20260120144837.0 000000711 0247_ $$2DOI$$a10.6083/M4QZ27Z6 000000711 037__ $$aETD 000000711 245__ $$aRural-urban differences in access utilization and time spent uninsured in an Oregon Medicaid population 000000711 260__ $$bOregon Health and Science University 000000711 269__ $$a2012 000000711 336__ $$aThesis 000000711 502__ $$bM.P.H. 000000711 520__ $$aThis study examined urban–rural differences in access, utilization, medical debt, and time uninsured among Oregon Health Plan (OHP2) beneficiaries during major Medicaid policy changes. Using longitudinal survey data (2003–2006) from 1,535 adults and multivariate logistic regression, we found rural respondents were older and more educated but had similar risks for unmet medical needs, prescription costs, urgent care, primary and emergency care utilization, and medical debt compared to urban respondents. Time uninsured strongly predicted unmet needs and debt across both groups. Findings suggest comparable challenges for rural and urban Medicaid populations during coverage disruptions. 000000711 540__ $$fCC BY 000000711 542__ $$fIn copyright - single owner 000000711 650__ $$aRural Population$$025633 000000711 650__ $$aMedicaid$$021932 000000711 650__ $$aRural Health Services$$031299 000000711 650__ $$aUrban Population$$027591 000000711 650__ $$aMedically Uninsured$$029654 000000711 650__ $$aHealth Services Accessibility$$019904 000000711 650__ $$aUrban Health$$027590 000000711 650__ $$aAmbulatory Care$$014522 000000711 650__ $$aLongitudinal Studies$$021617 000000711 650__ $$aSurveys and Questionnaires$$025037 000000711 651__ $$aOregon$$041094 000000711 6531_ $$amedically uninsured persons 000000711 691__ $$aSchool of Medicine$$041369 000000711 692__ $$aDepartment of Public Health and Preventive Medicine$$041444 000000711 7001_ $$aKautz, G. Glenn$$uOregon Health and Science University$$041354 000000711 8564_ $$98c1183c9-e81e-4fa5-99bc-ca1c909c7ae2$$s1793612$$uhttps://digitalcollections.ohsu.edu/record/711/files/714_etd.pdf$$ePublic$$255048279b1400b331433b4299f224ed5$$31 000000711 905__ $$a/rest/prod/df/65/v7/87/df65v7877 000000711 909CO $$ooai:digitalcollections.ohsu.edu:711$$pstudent-work 000000711 956__ $$aGet Accessible Copy$$uhttps://ohsu.libwizard.com/f/requestaccessibledocument 000000711 980__ $$aTheses and Dissertations