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Barriers to Care and Health Care Utilization Among the Publicly Insured
| Content Provider | Scilit |
|---|---|
| Author | Allen, Elizabeth M. Call, Kathleen T. Beebe, Timothy J. McAlpine, Donna D. Johnson, Pamela Jo |
| Copyright Year | 2017 |
| Description | Journal: Medical Care Background: Although the Affordable Care Act has been successful in expanding Medicaid to >17 million people, insurance alone may not translate into access to health care. Even among the insured, substantial barriers to accessing services inhibit health care utilization. Objectives: We examined the effect of selected barriers to health care access and the magnitude of those barriers on health care utilization. Research Design: Data come from a 2008 survey of adult enrollees in Minnesota’s public health care programs. We used multivariate logistic regression to estimate the effects of perceived patient, provider, and system-level barriers on past year delayed, foregone, and lack of preventive care. Subjects: A total of 2194 adults enrolled in Minnesota Health Care Programs who were mostly female (66%), high school graduates (76%), unemployed (62%), and living in metro areas (67%) were included in the analysis. Results: Reporting problems across all barriers increased the odds of delayed care from 2 times for provider-related barriers (OR=2.0; 95% CI, 1.2–3.3) to >6 times for access barriers (OR=6.2; 95% CI, 3.8–10.2) and foregone care from 2.6 times for family/work barriers (OR=2.6; 95% CI, 1.3–5.1) to >7 times for access barriers (OR=7.1; 95% CI, 3.9–13.1). Perceived discrimination was the only barrier consistently associated with all 3 utilization outcomes. Conclusions: Multiple types of barriers are associated with delayed and foregone care. System-level barriers and discrimination have the greatest effect on health care seeking behavior. |
| Related Links | http://europepmc.org/articles/pmc5309146?pdf=render https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5309146/pdf |
| Ending Page | 214 |
| Page Count | 8 |
| Starting Page | 207 |
| ISSN | 00257079 |
| e-ISSN | 15371948 |
| DOI | 10.1097/mlr.0000000000000644 |
| Journal | Medical Care |
| Issue Number | 3 |
| Volume Number | 55 |
| Language | English |
| Publisher | Ovid Technologies (Wolters Kluwer Health) |
| Publisher Date | 2017-03-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Medical Care Womens Studies Medicaid, Disparities, Barriers, Access |
| Content Type | Text |
| Resource Type | Article |
| Subject | Public Health, Environmental and Occupational Health |
