Access to care among vulnerable populations enrolled in commercial HMOs

Matthew J. Carlson, Jan Blustein

Research output: Contribution to journalArticle

Abstract

This cross-sectional study compares self-reported access to care among a representative sample of 13,952 HMO enrollees in New Jersey. Using multivariate logistic regression, this study found that compared with college graduates, those with less than a high school education reported more difficulty obtaining tests or treatment. Compared with whites, Hispanics were more likely to report difficulty seeing their primary care provider, and African Americans reported greater difficulty seeing a specialist and obtaining tests and treatment. Enrollees in poor health were more likely to report problems seeing a specialist and obtaining tests and treatment than enrollees in excellent health. Income was not a consistent predictor of access. Nonfinancial barriers appear to be more influential than financial barriers for predicting access problems in commercial HMOs. More work is needed to identify the source of nonfinancial barriers to care among vulnerable populations.

Original languageEnglish (US)
Pages (from-to)372-385
Number of pages14
JournalJournal of health care for the poor and underserved
Volume14
Issue number3
DOIs
StatePublished - Aug 2003

Keywords

  • Consumer Assessment of Health Plans Study (CAHPS) survey
  • Health maintenance organizations
  • Health services accessibility
  • Socioeconomic factors

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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