Barriers to Health Care Access Among the Elderly and Who Perceives Them

Bibliographic Data

ID11037294
AuthorsAnnette L Fitzpatrick (0000-0003-1941-6586, Annette L. Fitzpatrick is with the Department of Epidemiology, University of Washington, Seattle, Wash. Neil R. Powe is with the Department of Epidemiology, Department of Medicine, and the Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Md. Lawton S. Cooper is with the Prevention Studies Research Group, National Heart, Lung, and Blood Institute, National Institutes of Health, Division of Epidemiology and Clinical Applications, Bethesda, Md. Diane G....), Neil R Powe (0000-0003-2347-3620, Annette L. Fitzpatrick is with the Department of Epidemiology, University of Washington, Seattle, Wash. Neil R. Powe is with the Department of Epidemiology, Department of Medicine, and the Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Md. Lawton S. Cooper is with the Prevention Studies Research Group, National Heart, Lung, and Blood Institute, National Institutes of Health, Division of Epidemiology and Clinical Applications, Bethesda, Md. Diane G....), Lawton S Cooper (0000-0002-9704-8777, Annette L. Fitzpatrick is with the Department of Epidemiology, University of Washington, Seattle, Wash. Neil R. Powe is with the Department of Epidemiology, Department of Medicine, and the Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Md. Lawton S. Cooper is with the Prevention Studies Research Group, National Heart, Lung, and Blood Institute, National Institutes of Health, Division of Epidemiology and Clinical Applications, Bethesda, Md. Diane G....), Diane G Ives (Annette L. Fitzpatrick is with the Department of Epidemiology, University of Washington, Seattle, Wash. Neil R. Powe is with the Department of Epidemiology, Department of Medicine, and the Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Md. Lawton S. Cooper is with the Prevention Studies Research Group, National Heart, Lung, and Blood Institute, National Institutes of Health, Division of Epidemiology and Clinical Applications, Bethesda, Md. Diane G....), John A Robbins (0000-0002-8937-9613, Annette L. Fitzpatrick is with the Department of Epidemiology, University of Washington, Seattle, Wash. Neil R. Powe is with the Department of Epidemiology, Department of Medicine, and the Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Md. Lawton S. Cooper is with the Prevention Studies Research Group, National Heart, Lung, and Blood Institute, National Institutes of Health, Division of Epidemiology and Clinical Applications, Bethesda, Md. Diane G....)
Year2004
Volume94
Issue10
Pages1788-1794
Publication date2004-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.94.10.1788
PMID15451751
OpenAlexW2116805191
LanguageEN
Citations received54
References cited26

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

Affect (linguistics) · Cohort · Environmental health · Family medicine · Health care · Poverty · Race (biology) · Chronic Disease Management Strategies · Health disparities and outcomes · Healthcare Policy and Management · Medicine · Psychology · Gerontology

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