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Barriers to health care access among the elderly and who perceives them

Author

Listed:
  • Fitzpatrick, A.L.
  • Powe, N.R.
  • Cooper, L.S.
  • Ives, D.G.
  • Robbins, J.A.
  • Enright, E.

Abstract

Objectives. We evaluated self-perceived access to health care in a cohort of Medicare beneficiaries. Methods. We identified patterns of use and barriers to health care from self-administered questionnaires collected during the 1993-1994 annual examination of the Cardiovascular Health Study. Results. The questionnaires were completed by 4889 (91.1%) participants, with a mean age of 76.0 years. The most common barriers to seeing a physician were the doctor's lack of responsiveness to patient concerns, medical bills, transportation, and street safety. Low income, no supplemental insurance, older age, and female gender were independently related to perceptions of barriers. Race was not significant after adjustment for other factors. Conclusions. Psychological and physical barriers affect access to care among the elderly; these may be influenced by poverty more than by race.

Suggested Citation

  • Fitzpatrick, A.L. & Powe, N.R. & Cooper, L.S. & Ives, D.G. & Robbins, J.A. & Enright, E., 2004. "Barriers to health care access among the elderly and who perceives them," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1788-1794.
    • Handle: RePEc:aph:ajpbhl:2004:94:10:1788-1794_2
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    Citations

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    Cited by:

    1. Turner, Rachel A. & Szaboova, Lucy & Williams, Gwynedd, 2018. "Constraints to healthcare access among commercial fishers," Social Science & Medicine, Elsevier, vol. 216(C), pages 10-19.
    2. Meena Mahadevan & John Ruzsilla, 2012. "Assessing the Nutritional Health Outcomes of African American Women with HIV and Substance Abuse Disorders Using a Socioecological Approach," SAGE Open, , vol. 2(3), pages 21582440124, September.
    3. Sisi Yang & Katja Hanewald, 2022. "Life Satisfaction of Middle-Aged and Older Chinese: The Role of Health and Health Insurance," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 160(2), pages 601-624, April.
    4. Dongjuan Xu & Greg Arling, 2023. "Are Frail Older People from Racial/Ethnic Minorities at Double Jeopardy of Putting off Healthcare during the Pandemic?," IJERPH, MDPI, vol. 20(2), pages 1-12, January.
    5. Sepehr Nemati & Oleg V. Shylo & Oleg A. Prokopyev & Andrew J. Schaefer, 2016. "The Surgical Patient Routing Problem: A Central Planner Approach," INFORMS Journal on Computing, INFORMS, vol. 28(4), pages 657-673, November.
    6. Michaelis, Timothy L. & Carr, Jon C. & McKelvie, Alexander & Spivack, April & Lerman, Michael P., 2023. "Health resourcefulness behaviors: Implications of work-health resource trade-offs for the self-employed," Journal of Business Venturing Insights, Elsevier, vol. 20(C).
    7. Du, Fangye & Mao, Liang & Wang, Jiaoe, 2021. "Determinants of travel mode choice for seeking healthcare: A comparison between elderly and non-elderly patients," Journal of Transport Geography, Elsevier, vol. 92(C).
    8. Reeves, Aaron & McKee, Martin & Mackenbach, Johan P. & Whitehead, Margaret & Stuckler, David, 2017. "Public pensions and unmet medical need among older people: cross-national analysis of 16 European countries, 2004–2010," LSE Research Online Documents on Economics 68805, London School of Economics and Political Science, LSE Library.
    9. Mitchell, Penelope & Samsel, Steven & Curtin, Kevin M. & Price, Ashleigh & Turner, Daniel & Tramp, Ryan & Hudnall, Matthew & Parton, Jason & Lewis, Dwight, 2022. "Geographic disparities in access to Medication for Opioid Use Disorder across US census tracts based on treatment utilization behavior," Social Science & Medicine, Elsevier, vol. 302(C).

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