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Use of health services in relation to the physical home environment of an indian population.

THE GENERAL HEALTH alertness of a community can be measured by a number of indices. These indices include variables such as the number of patient visits, the general nature of such visits (specific illnesses, the result of accidents, or preventive services), the number of hospitalizations, or possibly the general condition of housing and the environment. In this study we sought to document the relationship between the physical status of a person's home environment and the way he uses the medical services available to him. We examined some patterns in the use of health care services, how the health facilities were used, and the physical home environment of an Indian population on a reservation in the northwestern part of the United States. We also included a few persons on the reservation who did not use the available Indian Health Service clinic facilities. Additionally, we identified those who visited the clinic but did not avail themselves of the preventive health care services, assuming that identifying them would facilitate the development of a program to establish optimum health levels in that population. In sum, then, we sought answers to the following questions. What are the characteristics of the people in this study? How are the Indian Health Service facilities used and by which people? What is the relationship between the home environment and the use of health services? Which people do not use the available preventive services?