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Health care access: a consumer perspective.

Z R Higgs1, T Bayne, D Murphy

  • 1Intercollegiate Center for Nursing Education, Washington State University College of Nursing, Spokane, Washington 99224-5291, USA. higgsz@wsu.edu

Public Health Nursing (Boston, Mass.)
|March 17, 2001
PubMed
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Action research identified key barriers to healthcare access for uninsured individuals in Spokane. Consumer input revealed cost, appointment wait times, and provider comfort as major issues impacting care.

Area of Science:

  • Public Health
  • Health Services Research
  • Community Health

Background:

  • Access to healthcare for uninsured populations is a significant community concern.
  • Limited understanding existed regarding consumer perspectives on healthcare access barriers.
  • No established benchmarks were available to assess progress in improving access.

Purpose of the Study:

  • To utilize action research for policy formulation regarding healthcare access for uninsured individuals.
  • To gather consumer perspectives on factors limiting healthcare access.
  • To establish benchmarks for measuring improvements in healthcare access.

Main Methods:

  • Conducted mailed surveys with 475 residents across six Spokane neighborhoods.
  • Held 12 focus group sessions with 97 participants to gather qualitative data.

Related Experiment Videos

  • Employed a mixed-methods approach combining qualitative and quantitative data collection.

    • Main Results:

    • Income, education, and ethnicity significantly influenced perceptions of healthcare needs met.
    • Many residents experienced difficulties obtaining needed medical, dental, and mental health care.
    • Key barriers identified included cost, long appointment wait times, provider comfort, and work-related conflicts.

    Conclusions:

    • Consumer input is essential for understanding local healthcare access challenges.
    • Action research, integrating qualitative and quantitative data, effectively informed policy and practice decisions.
    • Collaborative partnerships can enhance the immediate use of research findings by involved agencies.