Defining and Targeting Health Care Access Barriers
Defining and Targeting Health Care Access Barriers
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DOI：
10.1353/hpu.2011.0037
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发表时间：
2011-05-01
影响因子：
1.4
通讯作者：
Byron, Alex T.
中科院分区：
文献类型：
--
作者：
Carrillo, J. Emilio;Carrillo, Victor A.;Byron, Alex T.
健康状况的社会和经济决定因素的影响以及种族和民族医疗保健获取差异的存在已得到充分记录。本文描述了一个模型，即医疗保健获取障碍模型 (HCAB)，该模型为分类、分析和报告与医疗保健差异相关的可修改的医疗保健获取障碍提供了分类和实用框架。该模型描述了三类可改变的医疗保健获取障碍：财务障碍、结构障碍和认知障碍。这三种类型的障碍是相互加强的，并单独或共同影响医疗保健的获取。这些障碍与筛查、延迟就诊和缺乏治疗有关，进而导致不良的健康结果和健康差异。通过针对可测量和可修改的障碍，该模型有助于根本原因分析和干预设计。
The impact of social and economic determinants of health status and the existence of racial and ethnic health care access disparities have been well-documented. This paper describes a model, the Health Care Access Barriers Model (HCAB), which provides a taxonomy and practical framework for the classification, analysis and reporting of those modifiable health care access barriers that are associated with health care disparities. The model describes three categories of modifiable health care access barriers: financial, structural, and cognitive. The three types of barriers are reciprocally reinforcing and affect health care access individually or in concert. These barriers are associated with screening, late presentation to care, and lack of treatment, which in turn result in poor health outcomes and health disparities. By targeting those barriers that are measurable and modifiable the model facilitates root-cause analysis and intervention design.