What Influences Free Clinic Usage by the Uninsured

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What Influences Free Clinic Usage by the Uninsured?

By

Shelli Thomason

A Paper Submitted to
Dr. Dayna McDaniel
Research Methods PA6601
Term 5, 2012

Troy University
July 27, 2012

TABLE OF CONTENTS

CHAPTER 1

Introduction ……………………………………………………………………..4

Statement of the Problem……………………………………………………….5

2.1 Purpose …………………………………………………………….6 2.2 Problem Statement…..……………………………………………..6 2.3 Research Questions………………………………………………...6 2.4 Scope……………………………………………………………….8

1. Literature Review………………………………………………………………..9
Dependent variable………………………………………………………..9
1st Independent variable…………………………………………………...11
2nd Independent variable…………………………………………………..13
3rd Independent variable…………………………………………………...14
4th Independent variable…………………………………………………...16

4Hypothesis………………………………………………………………..……………18
4.1 H1: hypothesis one…………………………………………………..18
4.2 H2: hypothesis two…………………………………………………..18
4.3 H3: hypothesis three…………………………………………………18
4.4 H4: hypothesis four………………………………………………….18

Chapter II: Methodology
Design…………………………………………………………………………………..… 18 Population/Sample………………………………………………………………………….20 Variables……………………………………………………………………………………21
Dependent Variable………………………………………………………………...21
Independent Variables…………………………………………………..…….……22

Data Collection…………………………………………………………………………..…22
Measuring Instrument………………………………………………………...…….22
Materials…………………………………………………………………………….23
Delivery Method………………………………………………………………….....24

Data Analysis……………………………………….…………………………….… 24 Chapter III: Anticipated Findings…………………………………………………………..25 Chapter IV: Conclusion…………………………………….…………………………………25

Implications……………………………………………..………………………………………26

Recommendations………………………………………………………………………………26

References…………………………………………………………………………………28 - 30

Appendices
Appendix A Schematic Model....………………………………………………….………...…..31 Appendix B Formula for Calculating Population Sample Size….……………….……………..32 Appendix C Survey……………………………………………………………….…...…...33 - 35

Appendix D Demographics……………………………………………………………..………36 Appendix E Example of Multiple Regression results……………………………………………37

Chapter 1

Introduction

Many United States residents delay or do without necessary healthcare because they lack the resources or knowledge to access it. There are 46 million people in the nation who have no health care coverage, and by not giving necessary attention to medical concerns and conditions, poor health risks increase, along with untimely mortality (Darnell, 2010). A Kaiser Commission study from 2006 identifies there are 18,000 deaths yearly in the United States resulting from lack of health care coverage (Trask, 2011). Recent Census Bureau shows a slightly higher number of uninsured indicating there are 50 million uninsured, which would be the largest number on record, resulting from the national economic recession (Krisberg, 2010). According to Darnell (2010), there are 1007 free clinics in the nation, providing services during 3.5 million clinic visits, by 1.8 million uninsured patients, representing approximately 10% of uninsured adults of working age. The patients have no other health care alternatives to a free clinic due to a variety of factors including: no ability to pay, language barriers, lack of or inadequate medical insurance, homelessness, inaccessibility, and immigration or ethnicity issues. As private non-profit organizations, free-clinics are not recipients of federal funding, so many rely on state funding, local funding, and donations. Depaul (2010) notes that the National Association of Free Clinics estimated four million patients were seen in 2008, which doubled in 2009. It is also noted that free clinics have to turn away patients because...
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