Instability in Housing and Medical Care Access: The Inequitable Impacts of the COVID-19 Pandemic on U.S. Transgender Populations

Objectives: The present study compared the characteristics of health status and health care access and use among older American Indians and Alaska Natives (AIANs) to those of non-Hispanic Whites (NHWs). Methods: Data were drawn from the 2009 California Health Interview Survey, with a total of 17,156 adults aged 60 and older (198 AIANs and 16,958 NHWs) analyzed. Results: Older AIANs reported poorer physical and mental health than did NHWs. AIANs were less likely than NHWs to see a medical doctor and have a usual source of medical care and were more likely than NHWs to delay getting needed medical care and report difficulty understanding the doctor at their last visit. Discussion: These findings highlight the vulnerability and unmet health care needs of older AIANs. More research on the older AIAN population is clearly needed to document their health care needs in order to better inform efforts to reduce health disparities.

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Clinical trials screening: An opportunity to increase medical care access

Gastroenterology ◽

10.1016/s0016-5085(08)82035-5 ◽

2001 ◽

Vol 120 (5) ◽

pp. A410

Author(s):

Thomas O.G. Kovasc ◽

Robyn L. Altman ◽

Rome Jutabha ◽

Gordon V. Ohning

Keyword(s):

Clinical Trials ◽

Medical Care ◽

Care Access

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PCN210 MEDICAL CARE ACCESS AND COSTS AMONG CANCER SURVIVORS ENROLLED IN A HIGH DEDUCTIBLE HEALTH PLAN

Value in Health ◽

10.1016/j.jval.2020.04.1683 ◽

2020 ◽

Vol 23 ◽

pp. S59

Author(s):

R. Mahashabde ◽

C. Li

Keyword(s):

Cancer Survivors ◽

Medical Care ◽

Health Plan ◽

Care Access ◽

High Deductible Health Plan

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Illness, Self-Rated Health and Access to Medical Care among Waste Pickers in Landfill Sites in Johannesburg, South Africa

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17072252 ◽

2020 ◽

Vol 17 (7) ◽

pp. 2252 ◽

Cited By ~ 1

Author(s):

Felix Made ◽

Vusi Ntlebi ◽

Tahira Kootbodien ◽

Kerry Wilson ◽

Nonhlanhla Tlotleng ◽

...

Keyword(s):

Mental Health ◽

Medical Care ◽

Health Clinic ◽

Mobile Clinic ◽

Self Rated Health ◽

Care Access ◽

Landfill Sites ◽

Access To Medical Care ◽

Waste Pickers ◽

Clinic Visits

Waste pickers are exposed to various environmental health hazards, and self-rated health (SRH) could influence their medical care access. This study investigated the association between illness, clinic visits and SRH, and assessed if SRH can increase clinic visits. A cross-sectional study was conducted. SRH was defined as “very good”, “good”, “fair”, and “poor”. The illnesses were mental health, infectious, and chronic diseases. Medical care access included clinic visits in the previous 12 months. An ordinal logistic regression model was fitted to assess the association. There were 361 participants, 265 (73.41%) were males. Median age was 31 years, (interquartile range (IQR): 27–39). SRH: poor (29.89%), fair (15.92%), good (43.30%) very good (10.89%). Ever smoked (adjusted odds ratio (AOR): 1.72; 95% confidence interval (CI): 1.11–2.66), mental health (AOR: 1.87; 95% CI: 1.22–2.84), chronic (AOR: 2.34; 95% CI:1.47–3.68) and infectious (AOR: 2.07; 95% CI: 1.77–3.63) diseases were significantly associated with increased odds of reporting poor health. Clinic visit was not associated with SRH. From 99 (31%) individuals who rated their health as poor and ill, 40% visited a clinic (p = 0.0606). Acute and chronic illnesses were associated with poor SRH but this did not increase clinic visits. Provision of mobile clinic services at the landfill sites could increase access to medical care.

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Systematic Review of Research on Barriers to Access to Veterinary and Medical Care for Deaf and Hard of Hearing Persons

Journal of Veterinary Medical Education ◽

10.3138/jvme-2020-0116 ◽

2021 ◽

pp. e20200116

Author(s):

Allison N. Hinchcliff ◽

Kelly A. Harrison

Keyword(s):

Systematic Review ◽

Health Care ◽

Medical Care ◽

Health Care Access ◽

Hard Of Hearing ◽

The United States ◽

Care Access ◽

Pet Owners ◽

Access To Medical Care ◽

Improve Access

The Deaf and hard of hearing (DHH) population suffers disproportionately from barriers to health care access. Progress has been made toward improving access to medical care in the human health field; however, the veterinary field has not yet implemented similar standards. More research is needed to improve access to veterinary care for disabled individuals. This systematic review aimed to evaluate all primary research articles pertaining to medical and veterinary health care access for DHH adults in the United States. Its purpose was to assess gaps in knowledge regarding DHH persons’ access to veterinary care. The review includes 39 articles related to DHH access to medical care and 6 articles related to general access to veterinary care. The authors found no articles related specifically to DHH access to veterinary care nor any articles on disability accessibility to veterinary care that met the inclusion criteria. Results outline significant barriers to DHH persons’ access to health care, unique needs specific for this population of patients, and recommendations to improve access to medical care for individuals who identify as DHH. The results also suggest that further research is needed to investigate barriers to veterinary care experienced by DHH pet owners, the unique needs of this population of pet owners, and how the field of veterinary medicine can better accommodate those needs.

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Decomposing Differences in Medical Care Access Among Cancer Survivors by Race and Ethnicity

American Journal of Medical Quality ◽

10.1177/1062860614537676 ◽

2014 ◽

Vol 30 (5) ◽

pp. 459-469 ◽

Cited By ~ 14

Author(s):

Christopher J. King ◽

Jie Chen ◽

Rada K. Dagher ◽

Cheryl L. Holt ◽

Stephen B. Thomas

Keyword(s):

Cancer Survivors ◽

Medical Care ◽

Race And Ethnicity ◽

Care Access

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A Randomized Trial of Medical Care Management for Community Mental Health Settings: The Primary Care Access, Referral, and Evaluation (PCARE) Study

Yearbook of Psychiatry and Applied Mental Health ◽

10.1016/s0084-3970(10)79355-5 ◽

2011 ◽

Vol 2011 ◽

pp. 186-187

Author(s):

J.A. Talbott

Keyword(s):

Mental Health ◽

Primary Care ◽

Community Mental Health ◽

Medical Care ◽

Randomized Trial ◽

Care Management ◽

Primary Care Access ◽

Care Access ◽

Mental Health Settings ◽

Community Mental Health Settings

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Racial and Ethnic Disparities in Perceived Barriers to Health Care Among U.S. Adults With Intellectual and Developmental Disabilities

Intellectual and Developmental Disabilities ◽

10.1352/1934-9556-59.1.84 ◽

2021 ◽

Vol 59 (1) ◽

pp. 84-94

Author(s):

Henan Li ◽

Susan L. Parish ◽

Sandra Magaña ◽

Miguel A. Morales

Keyword(s):

Health Care ◽

Developmental Disabilities ◽

Medical Care ◽

Health Care Access ◽

Perceived Barriers ◽

Intellectual And Developmental Disabilities ◽

Usual Source Of Care ◽

Care Access ◽

Source Of Care ◽

Barriers To Health

Abstract Barriers to health care access can greatly affect one's health status. Research shows that U.S. adults with intellectual and developmental disabilities (IDD) have poor health and face barriers such as long waits for appointments. However, whether barriers differ by race and ethnicity has not been examined. We conducted a secondary data analysis using the 2002–2011 Medical Expenditure Panel Survey dataset, and compared perceived barriers of community-living U.S. adults with IDD in three racial and ethnic groups (White, Black, and Latinx). Specifically, we examined the top reasons for not having usual source of care, delaying or foregoing medical care. For Black and Latinx adults with IDD, the most-mentioned reasons for not having usual source of care, delaying or foregoing medical care were “don't like/don't trust doctors,” “don't use doctors,” and “don't know where to get care.” In comparison, the White adults with IDD group's biggest perceived barriers were location and insurance related. All groups cited that being unable to afford care was a top reason for delaying or foregoing care. Policies/interventions to improve health care access in racial/ethnic minorities with IDD must first address the topic of developing trust between patients and the health professions. Insurance and the rising costs of care are also key areas that need attention.

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The Impact of Binational Barriers to Medical Care on the Care-Seeking Practices of Mexican Immigrants

Qualitative Health Research ◽

10.1177/1049732321992041 ◽

2021 ◽

pp. 104973232199204

Author(s):

Rebecca M. Crocker

Keyword(s):

United States ◽

Health Care ◽

Medical Care ◽

Health Care Access ◽

Mexican Immigrants ◽

The United States ◽

Care Utilization ◽

Care Seeking ◽

Care Access ◽

The Impact

Barriers to health care access faced by Mexican immigrants in the United States have been well-documented, including lack of insurance, fear of deportation, and language barriers. However, little is known about this population’s care-seeking experiences before migration. In this article, I use a life-course approach to explore binational isolation from health care and the ways in which early-life experiences pattern Mexicans’ care-seeking practices in the United States. This ethnographic research project took place in Tucson, Arizona, between 2013 and 2014 and used semistructured interviews with service providers and first-generation Mexican immigrants. The majority of participants faced significant barriers to medical care in Mexico, which resulted in low rates of care utilization and heavy reliance on lay modalities. Immigrants faced an even broader array of barriers to care in the United States, and their lack of prior health care access further discouraged care utilization and compromised their medical care experiences after migration.

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