scholarly journals Using Concept Mapping to Understand Gender- and Age-Specific Factors Influencing Health Care Access among American Indian Elders

2021 ◽  
Vol 28 (2) ◽  
pp. 52-76
Author(s):  
Elise Trott Jaramillo ◽  
David H. Sommerfeld ◽  
Erik Lujan ◽  
Cathleen E. Willging
Keyword(s):  
Health Care ◽  
American Indian ◽  
Concept Mapping ◽  
Health Care Access ◽  
Care Access ◽  
Factors Influencing ◽  
Gender And Age ◽  
Specific Factors

scholarly journals Health Care Access and Utilization for American Indian Elders: A Concept-Mapping Study

2019 ◽  
Vol 76 (1) ◽  
pp. 141-151 ◽  
Author(s):  
David H Sommerfeld ◽  
Elise Trott Jaramillo ◽  
Erik Lujan ◽  
Emily Haozous ◽  
Cathleen E Willging
Keyword(s):  
Health Care ◽  
American Indian ◽  
Concept Mapping ◽  
Health Care Providers ◽  
Health Care Access ◽  
National Policy ◽  
Health Care Use ◽  
Care Providers ◽  
Factors Affecting ◽  
Care Access

Abstract Objectives Inequities in access to and utilization of health care greatly influence the health and quality of life of American Indian elders (AIEs). This study explores the importance and perceived prevalence of factors affecting health care use within this population and assesses the changeability of these factors to produce a list of action items that are timely and relevant to improving health care access and utilization. Method Concept mapping was conducted with AIEs (n = 65) and professional stakeholders (n = 50), including tribal leaders, administrators of public-sector health systems, outreach workers, and health care providers. Data were analyzed using multidimensional scaling and cluster analyses. Results The final concept-map model comprised nine thematic clusters related to factors affecting elder health care: Difficulties Obtaining and Using Insurance; Insecurity from Lack of Knowledge; Limited Availability of Services; Scheduling Challenges; Provider Issues and Relationships; Family and Emotional Challenges; Health-Related Self-Efficacy and Knowledge; Accessibility and Transportation Barriers; and Tribal/National Policy. Discussion Findings suggest that improvements in access to and utilization of health care among AIEs will require actions across multiple domains, including health system navigation services, workforce improvements, and tribal, state, and federal policy. A multilevel socioecological approach is necessary to organize and undertake these actions.

Traveling for Care: Factors Influencing Health Care Access for Rural Dwellers

1994 ◽  
Vol 11 (3) ◽  
pp. 145-149 ◽  
Author(s):  
Sharon D. Horner ◽  
Janet Ambrogne ◽  
Martha A. Coleman ◽  
Charlene Hanson ◽  
Donna Hodnicki ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Care Access ◽  
Factors Influencing ◽  
Rural Dwellers
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