Title: 2 Factors That Affect Health-Care Utilization | Health-Care Utilization as a Proxy in Disability Determination | The National Academies Press
Headings: 
2
Factors That Affect Health-Care Utilization
NEED FOR HEALTH-CARE SERVICES
ACCESS TO HEALTH CARE
Ability and Propensity to Use Services
Insurance and Ability to Pay for Services
DIFFERENCES IN HEALTH-CARE UTILIZATION ASSOCIATED WITH SELECTED CHARACTERISTICS
Race and Ethnicity
Sex
Working Age Adults
Spoken Language
Income and Poverty
Geography
Sociodemographic and Characteristics
Risk Factors
Utilization
Access
Geographic Practice Patterns
PEOPLE WITH DISABILITIES
SUMMARY AND CONCLUSIONS
REFERENCES

Content: Health-Care Utilization as a Proxy in Disability Determination. Washington, DC: The National Academies Press. doi: 10.17226/24969. ×
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2
Factors That Affect Health-Care Utilization
The committee was tasked with identifying factors that influence a person’s use of health-care services, including poverty and level of urbanization. This chapter will address those factors. The committee has organized the beginning of the chapter around individual and societal determinants of health-care utilization, including factors that affect the need for care, the propensity to use services, and barriers to the use of services. That is followed by a brief overview of disparities in the use of health care that have differentially affected different population groups. Finally, it concludes with a discussion of what is known about the relationship between disability status and use of health-care services.