Barriers to health care access among the elderly and who perceives them

Annette L. Fitzpatrick, Neil R. Powe, Lawton S. Cooper, Diane G. Ives, John A Robbins, Erika Enright

Research output: Contribution to journalArticle

119 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1788-1794
Number of pages7
JournalAmerican Journal of Public Health
Volume94
Issue number10
StatePublished - Oct 2004

Fingerprint

Health Services Accessibility
Architectural Accessibility
Poverty
Medicare
Insurance
Psychology
Delivery of Health Care
Physicians
Safety
Health
Surveys and Questionnaires

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Fitzpatrick, A. L., Powe, N. R., Cooper, L. S., Ives, D. G., Robbins, J. A., & Enright, E. (2004). Barriers to health care access among the elderly and who perceives them. American Journal of Public Health, 94(10), 1788-1794.

Barriers to health care access among the elderly and who perceives them. / Fitzpatrick, Annette L.; Powe, Neil R.; Cooper, Lawton S.; Ives, Diane G.; Robbins, John A; Enright, Erika.

In: American Journal of Public Health, Vol. 94, No. 10, 10.2004, p. 1788-1794.

Research output: Contribution to journalArticle

Fitzpatrick, AL, Powe, NR, Cooper, LS, Ives, DG, Robbins, JA & Enright, E 2004, 'Barriers to health care access among the elderly and who perceives them', American Journal of Public Health, vol. 94, no. 10, pp. 1788-1794.
Fitzpatrick AL, Powe NR, Cooper LS, Ives DG, Robbins JA, Enright E. Barriers to health care access among the elderly and who perceives them. American Journal of Public Health. 2004 Oct;94(10):1788-1794.
Fitzpatrick, Annette L. ; Powe, Neil R. ; Cooper, Lawton S. ; Ives, Diane G. ; Robbins, John A ; Enright, Erika. / Barriers to health care access among the elderly and who perceives them. In: American Journal of Public Health. 2004 ; Vol. 94, No. 10. pp. 1788-1794.
@article{4a7812e4a770459d8a9c05cbd9d3487f,
title = "Barriers to health care access among the elderly and who perceives them",
abstract = "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.",
author = "Fitzpatrick, {Annette L.} and Powe, {Neil R.} and Cooper, {Lawton S.} and Ives, {Diane G.} and Robbins, {John A} and Erika Enright",
year = "2004",
month = "10",
language = "English (US)",
volume = "94",
pages = "1788--1794",
journal = "American Journal of Public Health",
issn = "0090-0036",
publisher = "American Public Health Association Inc.",
number = "10",

}

TY - JOUR

T1 - Barriers to health care access among the elderly and who perceives them

AU - Fitzpatrick, Annette L.

AU - Powe, Neil R.

AU - Cooper, Lawton S.

AU - Ives, Diane G.

AU - Robbins, John A

AU - Enright, Erika

PY - 2004/10

Y1 - 2004/10

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=4944254299&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=4944254299&partnerID=8YFLogxK

M3 - Article

C2 - 15451751

AN - SCOPUS:4944254299

VL - 94

SP - 1788

EP - 1794

JO - American Journal of Public Health

JF - American Journal of Public Health

SN - 0090-0036

IS - 10

ER -