Barriers to Access to Health Care: The Role of Health Literacy, Political Trust and the Bureaucracy

2012 ◽  
Vol 56 (1) ◽  
pp. 107-126
Author(s):  
Jennifer E. Horan ◽  
Kae R. Livsey
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Access To Health Care ◽  
Political Trust ◽  
Barriers To Access ◽  
Access To Health

scholarly journals Does better availability mean better accessibility? Spatial inequalities in the care of acute myocardial infarction in Hungary

2020 ◽  
Vol 69 (4) ◽  
pp. 401-418
Author(s):  
Annamária Uzzoli ◽  
Zoltán Egri ◽  
Dániel Szilágyi ◽  
Viktor Pál
Keyword(s):  
Myocardial Infarction ◽  
Health Care ◽  
Acute Myocardial Infarction ◽  
Statistical Analysis ◽  
Health Literacy ◽  
Access To Health Care ◽  
Health Care Services ◽  
Care Services ◽  
Spatial Inequalities ◽  
Access To Health

The availability of health care services is an important issue, however, improving availability of health care services does not necessarily mean better accessibility for everybody. The main aim of this study is to find out how better availability in the care of acute myocardial infarction vary with accessibility of patients’ geographical location within Hungary. We applied statistical analysis and interview techniques to unfold the role of spatiality in the conditions of access to health care. Results of statistical analysis indicate significant health inequalities in Hungary. Decreasing national mortality rates of acute myocardial infarction, has been coupled by increasing spatial inequalities within the country especially at micro-regional level. According to in-depth interviews with local health care stakeholders we defined factors that support access to health care as well as important barriers. The supporting factors are related to the improvement of availability (i.e. infrastructural developments), while geographical distance, lack of material and human resources, or low level of health literacy proved to be the most relevant barriers. Main conclusion is that barriers to accessibility and availability are not only spatial but are also based on individual stages of acute myocardial infarction care. The development of cardiac catheter centres in Hungary has improved the short-term chances of infarction survival, but long-term survival chances have worsened in recent years due to deficiencies in rehabilitation care as well as low level of health literacy.

Access to Health Care for Pregnant Arabic-Speaking Refugee Women and Mothers in Germany

2019 ◽  
Vol 30 (3) ◽  
pp. 437-447 ◽  
Author(s):  
Julia Henry ◽  
Christian Beruf ◽  
Thomas Fischer
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Access To Health Care ◽  
Language Skills ◽  
Structured Interviews ◽  
Limited Health Literacy ◽  
Pregnancy And Childbirth ◽  
Refugee Women ◽  
Health Care Experiences ◽  
Access To Health

Refugee women often encounter multiple barriers when accessing ante-, peri-, and postnatal care. The aim of this study was to investigate how premigration experiences, conceptions about pregnancy and childbirth, health literacy, and language skills influence access to health care, experiences of health care, and childbirth. A total of 12 semi-structured interviews with refugee women from Iraq, Syria, and Palestine were conducted in the city of Dresden. Content analysis was applied using Levesque’s access model as a framework. Results indicate that conceptions of pregnancy and childbirth and premigration experiences influence women’s behaviors and experiences of pregnancy and childbirth. They contribute to barriers in accessing health care and lead to negative health outcomes. In view of limited health literacy, poor language skills, lack of information, and missing translators, female relatives in countries of origin remain an important source of information. Improved access to services for refugee women is needed.

The Role of Acculturation and Social Capital in Access to Health Care: A Meta-study on Hispanics in the US

2019 ◽  
Vol 44 (6) ◽  
pp. 1224-1252 ◽  
Author(s):  
Maria E. Rodriguez-Alcalá ◽  
Hua Qin ◽  
Stephen Jeanetta
Keyword(s):  
Health Care ◽  
Social Capital ◽  
Access To Health Care ◽  
Access To Health ◽  
The Us

Inequality in access to health care, health insurance and the role of supply factors

2018 ◽  
Vol 213 ◽  
pp. 134-145 ◽  
Author(s):  
Meliyanni Johar ◽  
Prastuti Soewondo ◽  
Retno Pujisubekti ◽  
Harsa Kunthara Satrio ◽  
Ardi Adji
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Access To Health Care ◽  
Access To Health ◽  
Care Health

scholarly journals The Role of Social Determinants of Health in Self-Reported Access to Health Care Among Women Undergoing Screening Mammography

2020 ◽  
Vol 29 (11) ◽  
pp. 1437-1446
Author(s):  
Louise M. Henderson ◽  
Ellen S. O'Meara ◽  
Jennifer S. Haas ◽  
Christoph I. Lee ◽  
Karla Kerlikowske ◽  
...  
Keyword(s):  
Health Care ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Access To Health Care ◽  
Screening Mammography ◽  
Determinants Of Health ◽  
Access To Health

What does 'access to health care' mean?

2002 ◽  
Vol 7 (3) ◽  
pp. 186-188 ◽  
Author(s):  
Martin Gulliford ◽  
Jose Figueroa-Munoz ◽  
Myfanwy Morgan ◽  
David Hughes ◽  
Barry Gibson ◽  
...  
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Cultural Barriers ◽  
Complex Concept ◽  
Barriers To Access ◽  
Access To Health ◽  
Equity Of Access ◽  
Diverse Groups ◽  
Physical Accessibility ◽  
Gain Access

Facilitating access is concerned with helping people to command appropriate health care resources in order to preserve or improve their health. Access is a complex concept and at least four aspects require evaluation. If services are available and there is an adequate supply of services, then the opportunity to obtain health care exists, and a population may 'have access' to services. The extent to which a population 'gains access' also depends on financial, organisational and social or cultural barriers that limit the utilisation of services. Thus access measured in terms of utilisation is dependent on the affordability, physical accessibility and acceptability of services and not merely adequacy of supply. Services available must be relevant and effective if the population is to 'gain access to satisfactory health outcomes'. The availability of services, and barriers to access, have to be considered in the context of the differing perspectives, health needs and material and cultural settings of diverse groups in society. Equity of access may be measured in terms of the availability, utilisation or outcomes of services. Both horizontal and vertical dimensions of equity require consideration.

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