Abstract
This research was designed to determine the relationship between availability of health services to pattern of use of health services in a rural area. Households in four rural Ozark communities with different levels of health services were surveyed. It was expected that use of services would be directly related to services available within the communities. The hypothesis was not supported by the data which showed similar patterns of utilization of health services for the four communities. The application of age and income controls did not change the results. Our interpretation is that there is a common normative pattern of health behavior in the four communities. On the basis of this normative stance, people will exert considerable effort and utilize scarce resources in order to obtain medical services deemed to be needed in a given situation. The findings have important implications for the delivery of health services in rural areas. They suggest that some latitude may exist in the location of health services without affecting the level of use of services.
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