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Barriers to preventive health care for young children
Merle R Kataoka-Yahiro1, Frances Munet-Vilaro
1University of Hawaii, Manoa School of Nursing and Dental Hygiene, Honolulu, HI, USA. merle@hawaii.edu
Insights
Barriers to preventive healthcare for young children (3-5 years) and families persist due to system, insurance, cultural, and parental factors. Nurse practitioners (NPs) can play a key role in addressing these challenges.
Area of Science:
- Pediatric Health
- Preventive Care
- Healthcare Access
Background:
- Preventive healthcare is crucial for young children's development.
- Existing systems face challenges in delivering consistent care.
- Families encounter various obstacles in accessing services.
Purpose of the Study:
- To review literature on barriers to preventive healthcare for children aged 3-5.
- To identify challenges in availability, access, and utilization.
- To explore the role of nurse practitioners (NPs) in this domain.
Main Methods:
- Comprehensive literature search of online databases (CINAHL, Medline).
- Inclusion of expert-recommended readings.
- Examination of additional textbook and article references.
Main Results:
- Significant barriers exist in the availability, access, and utilization of preventive healthcare.
- Key concerns include mandatory systems, lack of insurance, cultural factors, and parental influences.
- Current preventive care practices require reevaluation.
Conclusions:
- Addressing systemic, financial, cultural, and parental barriers is essential.
- Innovative approaches to preventive care delivery are needed.
- Nurse practitioners (NPs) are vital for future research, education, and practice.
Purpose:
To review the literature on barriers to availability, access, and utilization of preventive health care for young children three to five years of age and their families and to discuss the role of nurse practitioners (NPs) in future research, education, and practice in this area.
Data Sources:
A comprehensive literature search was conducted of online material and CINAHL and Medline (CD-ROM 1990 to present). In addition, experts in this area were asked to recommend extra reading materials. Additional references in textbooks and articles were examined.
Conclusions:
The literature review supports that there are major barriers to be addressed in the areas of availability, access, and utilization of preventive health care services for young children and their families. Major concerns include mandatory system for preventative health care, lack of health insurance coverage, cultural issues, and parental effects.
Implications For Practice:
Health professionals in the community will need to work together to reevaluate current preventive health care practices for young children. Alternative methods for approaching and providing preventive health care services may become increasingly important if these services for young children are to be provided at current or increased levels.