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- Title
Listening to Rural Hispanic Immigrants in the Midwest: A Community-Based Participatory Assessment of Major Barriers to Health Care Access and Use.
- Authors
Cristancho, Sergio; Garces, D. Marcela; Peters, Karen E.; Mueller, Benjamin C.
- Abstract
Hispanic immigrants are increasingly residing in rural communities, including in the midwestern United States. Limitations in the ability of rural Hispanics to access and utilize health care contribute to patterns of poor health and health disparity. A conceptual model of "vulnerability" guides this community-based participatory assessment project designed to explore rural Hispanics' perceived barriers to accessing and utilizing health care. Findings from a series of 19 focus groups with 181 participants from three communities in the upper Midwest identified perceived barriers at the individual and health care system levels. The most commonly perceived barriers were the lack of and limitations in health insurance coverage, high costs of health care services, communication issues involving patients and providers, legal status/discrimination, and transportation concerns. Findings imply that these barriers could be addressed using multiple educational and health service delivery policy-related strategies that consider the vulnerable nature of this growing population.
- Subjects
UNITED States; IMMIGRANTS; HISPANIC Americans; MEDICAL care; HEALTH services accessibility; FOCUS groups; NEEDS assessment
- Publication
Qualitative Health Research, 2008, Vol 18, Issue 5, p633
- ISSN
1049-7323
- Publication type
Article
- DOI
10.1177/1049732308316669