A comparison between physicians and demographically similar peers in accessing personal health care

Andrea S. Cedfeldt, Elizabeth A. Bower, Tana A. Grady-Weliky, Christine Flores, Donald E. Girard, Dongseok Choi

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Purpose: Residents are a unique subpopulation of physicians, training in a complex work and educational environment that may create barriers to accessing preventive and illness-related health care. This study was designed to investigate residents' utilization of personal health care services and compare with those of demographically similar peers. Method: All 675 residents in a large, urban, tertiary care U.S. academic medical center were invited to participate in a confidential, Web-based, cross-sectional survey in January 2008. Survey responses to questions addressing personal health care were compared with those of a demographically similar group using the 2008 survey from the Behavioral Risk Factor Surveillance System (BRFSS). The final weights in BRFSS were used for a post hoc stratified adjustment in analysis. Logistic regression was employed to compare subgroups. Results: Sixty-six percent of residents completed the survey. A significantly lower percentage of residents reported having a primary care provider (44%) or dentist (65%) or having routine health and dental care visits (39% and 53%, respectively) within the past year than those in the demographically similar group of 2008 BRFSS. In that group, 83% reported having a primary care provider, and 63% and 79% reported having routine primary and dental health care visits, respectively. Conclusions: The residents were significantly less likely than demographically similar peers to have a primary care provider or dentist or to participate in routine health maintenance. Further research into barriers preventing residents from accessing health care, and opportunities to address them, is needed.

Original languageEnglish (US)
Pages (from-to)327-331
Number of pages5
JournalAcademic Medicine
Issue number3
StatePublished - Mar 2012

ASJC Scopus subject areas

  • Education


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