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A Systematic Review of Barriers to Access-to-Care in Hispanics With Type 2 Diabetes
Sharon K Titus1, Merle Kataoka-Yahiro2
11 Azusa Pacific University, Azusa, CA, USA.
Introduction:
A systematic review was conducted to highlight current barriers to access-to-care for Hispanics with type 2 diabetes (T2D).
Method:
PubMed and CINAHL databases (2010-2015) using PRISMA guidelines. 84 studies were identified, 12 quantitative studies were selected for review remained based on inclusion/exclusion criteria. There were five research questions: (1) What samples/settings were included? (2) What theories guided each study? (3) What were the study aims and (4) designs? (5) What barriers of access-to-care were identified? Barriers were placed into three categories set a priori.
Results:
The word "barrier" was in one study aim. Barriers of self (92%), provider (50%), and environment (25%) were identified. Self-care behaviors (diet and exercise), individual resources (cost factors), lack of providers specializing in T2D, and environmental factors affect Hispanics with T2D access-to-care.
Discussion:
These barriers to access underscore current importance to Hispanics with T2D. A follow-up review should be conducted as new barriers are expected to emerge.
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