Beyond affordability: the impact of nonfinancial barriers on access for uninsured adults in three diverse communities.

Journal of Community Health
Jeffrey T Kullgren, Catherine G McLaughlin

Abstract

Most proposals to improve access for uninsured adults focus on removing financial barriers to health care. Health services researchers have long recognized, however, that access to care is a multidimensional concept consisting of both financial and nonfinancial dimensions. While financial barriers faced by those without health insurance have been well-documented, it is not known to what degree nonfinancial barriers limit access for those without coverage. In this study we sought to identify the types and frequencies of nonfinancial access barriers faced by low-income uninsured adults, as well as determine how frequently nonfinancial barriers coexist with financial access barriers in this population. We conducted a telephone survey of 1,118 low-income uninsured adults in Alameda, California, Austin, Texas, and Southern Maine who had enrolled in local access programs funded through the Robert Wood Johnson Foundation's Communities in Charge initiative. Financial barriers were the most often cited barrier to access in each of the three groups, though nonfinancial barriers were often cited as well. Across all three populations, one-third to one-half of respondents with financial access barriers also cited one or more nonfinancial ba...Continue Reading

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Citations

Sep 15, 2011·Journal of General Internal Medicine·Colleen M Grogan
Nov 19, 2011·Health Services Research·Jeffrey T KullgrenKatrina Armstrong
Aug 23, 2012·Journal of Clinical Epidemiology·Nathan D ShippeeVictor M Montori
May 31, 2011·American Journal of Obstetrics and Gynecology·Blair B WashingtonVivian W Sung
Sep 1, 2016·Medical Care·Elizabeth M AllenPamela Jo Johnson
Oct 11, 2013·Qualitative Health Research·Juyeon Son
Jan 13, 2018·Health Services Research and Managerial Epidemiology·Akiko KamimuraJeanie Ashby
Aug 13, 2014·World Journal of Clinical Oncology·Karla Unger-Saldaña
Mar 20, 2018·Health Services Research and Managerial Epidemiology·Tammy ToscosBradley N Doebbeling
Mar 15, 2019·Medical Care·Joseph A BenitezMatthew M Davis
Apr 17, 2019·Journal of Community Health Nursing·Rolanda Johnson, Tom Cook
Mar 20, 2014·SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance·Elizabeth J LyimoBernard Njau
Sep 9, 2016·Journal of Community Health·Melina BersaminLaura J Finan
May 1, 2018·Medical Care Research and Review : MCRR·Michael R Daly, Jennifer M Mellor
Mar 16, 2017·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·John LoftusSusan A Everson-Rose
Jan 5, 2021·Journal of the American College of Emergency Physicians Open·Joshua D NiforatosAli S Raja

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