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Defining and targeting health care access barriers.
J Emilio Carrillo1, Victor A Carrillo, Hector R Perez
1Weill Medical College of Cornell University, New York City, NY 10032, USA. ecarrill@nyp.org
Journal of Health Care for the Poor and Underserved
|May 10, 2011
Summary
This study introduces the Health Care Access Barriers (HCAB) Model to classify modifiable barriers like financial, structural, and cognitive issues. Addressing these barriers can help reduce health disparities and improve patient outcomes.
Area of Science:
- Health Services Research
- Health Disparities Research
- Public Health Policy
Background:
- Social and economic determinants significantly impact health.
- Racial and ethnic disparities in healthcare access are well-documented.
- Existing frameworks lack a detailed taxonomy for modifiable healthcare access barriers.
Purpose of the Study:
- To introduce the Health Care Access Barriers (HCAB) Model.
- To provide a practical framework for classifying and analyzing modifiable barriers to healthcare access.
- To inform interventions aimed at reducing health disparities.
Main Methods:
- Development of a taxonomy categorizing barriers into financial, structural, and cognitive.
- Analysis of how these barriers individually and collectively impact healthcare access.
- Linking barriers to screening, treatment seeking, and health outcomes.
Main Results:
- The HCAB model identifies three key categories of modifiable barriers: financial, structural, and cognitive.
- These barriers are interconnected and can act synergistically.
- Barriers contribute to delayed care, lack of treatment, and ultimately, health disparities.
Conclusions:
- The HCAB model offers a structured approach to understanding and addressing modifiable healthcare access barriers.
- Targeting these measurable barriers facilitates root-cause analysis for effective interventions.
- Implementing the HCAB model can lead to improved healthcare access and reduced health disparities.
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