Defining and Targeting Health Care Access Barriers
Abstract
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.
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Individuals without insurance or with insufficient coverage are left without a treatment summary or history, resulting in reduced healthcare presentation, delayed treatment, and decreased overall care.
“However, individuals without insurance or with insufficient coverage are left without a treatment summary or history, resulting in reduced healthcare presentation, delayed treatment, and decreased overall care.”
From Identifying the accessibility barriers for chronic disease management in health care delivery system amongst the Urban Poor of Kolkata, West Bengal, India (2025) · cites this paper as [39]
Patients with insurance benefit from a comprehensive database, facilitating their treatment and follow-up better.
“They argued that patients with insurance benefit from a comprehensive database, facilitating their treatment and follow-up better.”
From Identifying the accessibility barriers for chronic disease management in health care delivery system amongst the Urban Poor of Kolkata, West Bengal, India (2025) · cites this paper as [39]
Long waiting times act as barriers, independently or in conjunction with financial obstacles, impeding disease prevention and management.
“Carrillo and colleagues also emphasized that long waiting times act as barriers, independently or in conjunction with financial obstacles, impeding disease prevention and management.[39]”
From Identifying the accessibility barriers for chronic disease management in health care delivery system amongst the Urban Poor of Kolkata, West Bengal, India (2025) · cites this paper as [39]
Education and occupation are social structure determinants in the Health Care Access Barrier (HCAB) Model.
“The Health Care Access Barrier (HCAB) Model, widely used to understand accessibility, considers various determinants, with education and occupation being social structure determinants, as highlighted by Carrillo et al. in 2011.[39]”
From Identifying the accessibility barriers for chronic disease management in health care delivery system amongst the Urban Poor of Kolkata, West Bengal, India (2025) · cites this paper as [39]
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- Authors
- Carrillo, J. E., Carrillo, V. A., Perez, H. R., Salas-Lopez, D., Natale-Pereira, A., & Byron, A. T.
- Venue
- Journal of Health Care for the Poor and Underserved
- Publisher
- Project MUSE
- Published
- 2011-05
- Volume
- 22
- Issue
- 2
- Pages
- 562-575
- ISSN
- 1548-6869
- Cited by
- 220
- References
- 4
- Language
- en
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