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© 1977 Oxford University Press

research-article

Hospitalizations in a Southern Rural Community: an Application of the ‘Ecology Model’

STEPHEN B THACKER, SANDRA B GREENE and EVA J SALBER

Department of Community Health Sciences, Duke University Medical Center Durham, NC 27710, USA

Reprint requests should be addressed to Dr. E J Salber

The purpose of this study is to re-examine the concepts of health services utilization presented by White and his colleagues In ‘The Ecology of Medical Care’. We re-test their model in a rural population in the southern United States using longitudinal Instead of cross-sectional data and find that the general principles of the ‘Ecology’ model do, Indeed, apply to rural populations like Rougemont/Bahama. Use of this model has implications for modifying and improving the organization of the health care delivery system end for a fundamental change of emphasis in medical education.

Received 3 November 1976


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