Related Experiment Video
Updated: Apr 24, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Racial and Ethnic Disparities in Cost-Related Healthcare Access Barriers in Florida (2012-2024): A Joinpoint
Carlos Acosta-Batista1, Berenice D Pena Reina1, Jeniffer S Romero1
1Clinical Research Department, Primary Care - Research Initiative (PCRI), Miami Lakes, USA.
The COVID-19 pandemic halted healthcare access gains for Hispanic women in Florida, revealing critical economic barriers and intersectional vulnerabilities in healthcare access. This highlights systemic disruptions impacting minority groups.
Area of Science:
- Public Health
- Health Services Research
- Health Economics
Background:
- Economic barriers disproportionately impact racial and ethnic minorities.
- The Affordable Care Act (ACA) aimed to reduce healthcare disparities.
- The COVID-19 pandemic presented an unprecedented challenge to healthcare access.
Purpose of the Study:
- Quantify state-level trends in cost-related healthcare access barriers in Florida.
- Focus on intersectional vulnerabilities among different demographic groups.
- Analyze the impact of the COVID-19 pandemic on these barriers.
Main Methods:
- Ecological time-series analysis of Florida adults (2012-2024).
- Data from the Behavioral Risk Factor Surveillance System (BRFSS).
- Bayesian paired samples analysis and Joinpoint regression to assess disparities and trend reversals.
Main Results:
- Hispanic women faced the highest average barrier rate (23.81%).
- Significant structural gap observed: Hispanic women faced 13.02 percentage points higher barriers than non-Hispanic White men.
- A structural break in 2020 halted declining trends for Hispanic women, shifting to an upward trajectory post-pandemic.
Conclusions:
- The COVID-19 pandemic marked a significant structural break in healthcare access for Hispanic women in Florida.
- Previous gains in healthcare access were abruptly halted.
- Findings underscore the intersectional vulnerability of the primary care safety net during systemic disruptions.
More Related Videos
09:55Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology
Published on: September 28, 2022
06:16Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
Published on: August 9, 2024
Related Concept Videos
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Standards of Care I
Introduction To Health Care Delivery System
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Stereotypes, Prejudice, and Discrimination
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Preventive Healthcare Services