Abstract
One major assumption underlying much of the health-care policy in the United States is articulated and submitted to empirical test in this study. The test assesses the relative impacts of health service resources and community structure on two measures of physical health status. All constructs are measured by multiple indicators at three points in time: 1950, 1960, and 1970. The parameters of the conceptual model are estimated by multiple regression techniques. A block-recursive test of the static model shows that health resources exert minimal net impacts on health status. The impact of community structure on health status is more pronounced. Further, an examination of beta coefficients shows that the relationship between health service resources and physical health status is not consistent with the postulated notion of how the health system affects health. An evaluation of change data over the twenty-year period was consistent with the static model. Probationary policy implications of the findings are offered.
Published Version
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