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Reports of insurance-based discrimination in health care and its association with access to care

Author

Listed:
  • Han, X.
  • Call, K.T.
  • Pintor, J.K.
  • Alarcon-Espinoza, G.
  • Simon, A.B.

Abstract

Objectives. We examined reports of insurance-based discrimination and its association with insurance type and access to care in the early years of the Patient Protection and Affordable Care Act. Methods. We used data from the 2013 Minnesota Health Access Survey to identify 4123 Minnesota adults aged 18 to 64 years who reported about their experiences of insurance-based discrimination. We modeled the association between discrimination and insurance type and predicted odds of having reduced access to care among those reporting discrimination, controlling for sociodemographic factors. Data were weighted to represent the state's population. Results. Reports of insurance-based discrimination were higher among uninsured (25%) and publicly insured (21%) adults than among privately insured adults (3%), which held in the regression analysis. Those reporting discrimination had higher odds of lacking a usual source of care, lacking confidence in getting care, forgoing care because of cost, and experiencing provider-level barriers than those who did not. Conclusions. Further research and policy interventions are needed to address insurance-based discrimination in health care settings.

Suggested Citation

  • Han, X. & Call, K.T. & Pintor, J.K. & Alarcon-Espinoza, G. & Simon, A.B., 2015. "Reports of insurance-based discrimination in health care and its association with access to care," American Journal of Public Health, American Public Health Association, vol. 105, pages 517-525.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302668_5
    DOI: 10.2105/AJPH.2015.302668
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    Cited by:

    1. Alipio, Mark, 2020. "A Path Analysis Examining the Relationship Between Access Barriers to Health Services and Healthcare Utilization Among the Publicly Insured: Insights from a Multiprovince Survey in the Philippines," SocArXiv d6vbm, Center for Open Science.
    2. Stritzel, Haley, 2022. "State-level changes in health insurance coverage and parental substance use-associated foster care entry," Social Science & Medicine, Elsevier, vol. 305(C).
    3. Jusung Lee & Krista J. Howard & Caleb Leong & Timothy J. Grigsby & Jeffrey T. Howard, 2023. "Beyond Being Insured: Insurance Coverage Denial as a Major Barrier to Accessing Care During Pregnancy and Postpartum," Clinical Nursing Research, , vol. 32(8), pages 1092-1103, November.
    4. Alyson Ma & Alison Sanchez & Mindy Ma, 2022. "Racial disparities in health care utilization, the affordable care act and racial concordance preference," International Journal of Health Economics and Management, Springer, vol. 22(1), pages 91-110, March.
    5. Jamie A Mitchell & Ramona Perry, 2020. "Disparities in patient-centered communication for Black and Latino men in the U.S.: Cross-sectional results from the 2010 health and retirement study," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-17, September.
    6. Anthony Surace & David G. Zelaya & Arryn A. Guy & Nadine R. Mastroleo & Ayla Durst & David W. Pantalone & Peter M. Monti & Kenneth H. Mayer & Christopher W. Kahler, 2022. "Examining the Impact of Race on Motivational Interviewing Implementation and Outcomes with HIV+ Heavy Drinking Men Who Have Sex with Men," IJERPH, MDPI, vol. 19(7), pages 1-14, March.

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