Child Welfare Caregivers of Differing English-Language Use: Perceptions of Pediatric Health Care Access Barriers

2010 ◽  
Vol 19 (1) ◽  
pp. 18-33
Author(s):  
Janet U. Schneiderman ◽  
Dawn D. McDaniel ◽  
Bin Xie ◽  
Leopoldo J. Cabassa ◽  
Joanne Suh
Keyword(s):  
Health Care ◽  
Child Welfare ◽  
Health Care Access ◽  
English Language ◽  
Language Use ◽  
Access Barriers ◽  
Pediatric Health ◽  
Pediatric Health Care ◽  
Care Access ◽  
Health Care Access Barriers

Defining and Targeting Health Care Access Barriers

2011 ◽  
Vol 22 (2) ◽  
pp. 562-575 ◽  
Author(s):  
J. Emilio Carrillo ◽  
Victor A. Carrillo ◽  
Hector R. Perez ◽  
Debbie Salas-Lopez ◽  
Ana Natale-Pereira ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Access Barriers ◽  
Care Access ◽  
Health Care Access Barriers

Children: Health Care

2013 ◽  
Author(s):  
Barbara L. Jones ◽  
Casey Walsh
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Healthcare Outcomes ◽  
Children And Families ◽  
Supportive Services ◽  
Pediatric Health ◽  
Pediatric Health Care ◽  
Care Access ◽  
Trauma Informed Care ◽  
Medical Advances

Despite rapid medical advances, children in this country still face significant barriers to adequate health care, including unequal access to insurance and health care. There is great need and opportunity in our nation at this time to advocate for the advancement and prioritization of pediatric health care. Children remain vulnerable to the challenges of poverty, violence, firearms, mental health, and health care access. Social workers play an important role in assisting children and families who face health care crises by providing supportive services, advocacy, culturally grounded assessment, trauma informed care, and evidence-based interventions to improve healthcare outcomes and quality of life. The Patient Protection and Affordable Care Act (ACA), signed into law in 2010, has increased access to pediatric health and behavioral health services. While the future of this law is uncertain at the time of this writing, social work is and will continue to be an important discipline to assist children and families in the areas of health promotion and adaptation to illness and injury.

scholarly journals Food Insecurity and Low Self-efficacy are Associated with Health Care Access Barriers Among Puerto-Ricans with Type 2 Diabetes

2011 ◽  
Vol 14 (4) ◽  
pp. 552-562 ◽  
Author(s):  
Grace Kollannoor-Samuel ◽  
Sonia Vega-López ◽  
Jyoti Chhabra ◽  
Sofia Segura-Pérez ◽  
Grace Damio ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Health Care ◽  
Food Insecurity ◽  
Health Care Access ◽  
Self Efficacy ◽  
Puerto Ricans ◽  
Access Barriers ◽  
Care Access ◽  
Health Care Access Barriers

scholarly journals Patient Perceptions of Video Visits Using Veterans Affairs Telehealth Tablets: Survey Study

10.2196/15682 ◽  
2020 ◽  
Vol 22 (4) ◽  
pp. e15682 ◽  
Author(s):  
Cindie Slightam ◽  
Amy J Gregory ◽  
Jiaqi Hu ◽  
Josephine Jacobs ◽  
Tolessa Gurmessa ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Patient Characteristics ◽  
Veterans Affairs ◽  
Survey Study ◽  
Baseline Survey ◽  
Access Barriers ◽  
Care Access ◽  
Patient Reported

Background Video-based health care can help address access gaps for patients and is rapidly being offered by health care organizations. However, patients who lack access to technology may be left behind in these initiatives. In 2016, the US Department of Veterans Affairs (VA) began distributing video-enabled tablets to provide video visits to veterans with health care access barriers. Objective This study aimed to evaluate veterans’ experiences with VA-issued tablets and identify patient characteristics associated with preferences for video visits vs in-person care. Methods A baseline survey was sent to the tablet recipients, and a follow-up survey was sent to the respondents 3 to 6 months later. Multivariate logistic regression was used to identify patient characteristics associated with preferences for care, and we examined qualitative themes around care preferences using standard content analysis methods for coding the data collected in the open-ended questions. Results Patient-reported access barriers centered around transportation and health-related challenges, outside commitments, and feeling uncomfortable or uneasy at the VA. Satisfaction with the tablet program was high, and in the follow-up survey, approximately two-thirds of tablet recipients preferred care via a tablet (194/604, 32.1%) or expressed that video-based and in-person care were “about the same” (216/604, 35.7%), whereas one-third (192/604, 31.7%) indicated a preference for in-person care. Patients were significantly more likely to report a preference for video visits (vs a preference for in-person visits or rating them “about the same”) if they felt uncomfortable in a VA setting, reported a collaborative communication style with their doctor, had a substance use disorder diagnosis, or lived in a place with better broadband coverage. Patients were less likely to report a preference for video visits if they had more chronic conditions. Qualitative analyses identified four themes related to preferences for video-based care: perceived improvements in access to care, perceived differential quality of care, feasibility of obtaining necessary care, and technology-related challenges. Conclusions Many recipients of VA-issued tablets report that video care is equivalent to or preferred to in-person care. Results may inform efforts to identify good candidates for virtual care and interventions to support individuals who experience technical challenges.

Alaska Federal Health Care Access Network

2011 ◽  
pp. 201-216
Author(s):  
Bogdan Hoanca
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Computer Literacy ◽  
English Language ◽  
Access Network ◽  
Target Area ◽  
Quality Health Care ◽  
Federal Funds ◽  
Care Access ◽  
Quality Health

The case describes the development of the Alaska Federal Health Care Access Network (AF-HCAN), a consortium providing telemedicine in Alaska. Given the state’s vast geographical areas, the lack of infrastructure in the remote villages, and the extreme climate, AFHCAN faced particular challenges in ensuring access to quality health care across its target area. Using federal funds, a consortium of federal, military, and private organizations developed an intuitive, easy to use, custom-developed software and an integrated (cart-based) hardware platform. Low utilization levels following the initial deployment, prompted an organizational change from delivering a software/hardware product to delivering a turn-key system (including training). The system has been successfully deployed to 260 sites in the state. Users with limited computer literacy levels and even with limited English language skills are able to use the systems successfully. Overall, both patients and heath providers report high levels of satisfaction with the system.

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