The availability of public health services can have a major influence on healthcare for the people of Atlanta, Georgia. This is especially true for those who move to less affluent areas, as they are more likely to experience an improvement in unmet needs and less likely to suffer from a decrease in utilization. This is due to the residential segregation of the black population, disparities in spatial access to health centers, and the late diagnosis of breast cancer in the Detroit metropolitan area. A study was conducted to investigate the associations between major enabling factors and changes in participants' access to and utilization of healthcare. The study period was chosen so that participants had enough time to form relationships with healthcare providers in their new community.
The results showed that having health insurance at the individual level (as opposed to having no insurance) during follow-up was strongly associated with changes in obtaining a USOC and with an unmet need for health care. The acceptability dimension of healthcare is also an important factor. This includes the participation of healthcare providers in the Medicaid program. People living in more impoverished areas have worse access to healthcare and health outcomes due to this factor. In addition, other pathways may be associated with changes in access to medical care and in the use of health services for people moving, such as changes in social support, health-related behaviors, health status, or relationships with health care providers. Atlanta relocated its residents from public housing by virtue of the amendment to Article 18 of the Housing Act of 1937, which moved residents from public housing to the private market through rental vouchers. This study provides an essential foundation for future research by providing the first examination of changes in access to and utilization of health care at the individual level by people moving to public housing.
It is evident that the availability of public health services can have a considerable impact on healthcare for residents of Atlanta, Georgia. The findings from this study suggest that public health services can have a significant impact on healthcare for residents of Atlanta, Georgia. This is especially true for those who move to poorer areas, as they are more likely to benefit from improved unmet needs and less likely to suffer from a decrease in utilization. Furthermore, acceptability dimensions such as participation in Medicaid programs can also play a role in determining access to healthcare and health outcomes. Finally, other pathways such as changes in social support, health-related behaviors, health status, or relationships with healthcare providers may also be associated with changes in access to medical care and utilization of health services.