Understanding Why Urban, Low-Income Patients Miss Primary Care Appointments Insights From Qualitative Interviews of West Philadelphians

被引：22

作者：

Brown, Emily E. ^{[1
,2
]}

Schwartz, Mika ^{[1
]}

Shi, Catherine ^{[1
,3
]}

Carter, Tamala ^{[1
,4
]}

Shea, Judy A. ^{[1
,5
]}

Grande, David ^{[1
,5
]}

Chaiyachati, Krisda H. ^{[1
,3
,5
]}

机构：

[1] Univ Penn, Perelman Sch Med, 1313 Blockley Hall, Philadelphia, PA 19104 USA

[2] Lancaster Gen Hosp, Lancaster, PA USA

[3] Penn Med Ctr Hlth Care Innovat, Philadelphia, PA USA

[4] Penn Med Ctr Community Hlth Workers, Philadelphia, PA USA

[5] Univ Penn, Leonard Davis Inst Hlth Econ, Philadelphia, PA 19104 USA

来源：

JOURNAL OF AMBULATORY CARE MANAGEMENT | 2020年 / 43卷 / 01期

关键词：

access to health care; health care primary; qualitative analysis; urban issues; TIMELY PRIMARY-CARE; HEALTH-CARE; MANAGED CARE; ACCESS; BARRIERS; TRANSPORTATION; MODEL; SERVICES;

D O I：

10.1097/JAC.0000000000000316

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Missed primary care appointments occur frequently among urban, low-income patients-some of the costliest and sickest patients. We conducted semi-structured interviews with 43 patients who reside in West Philadelphia (100% insured by Medicaid, 95% were non-Hispanic African Americans, and 47.1 years old on average) to identify why recent primary care appointments were or might have been missed. Existing transportation options, including public transportation, were considered unreliable and alternative options too costly. In addition, we discovered poor health, family obligations, and work requirements prevented appointment attendance. Intervening on the barriers identified may reduce missed appointment rates among disadvantaged populations.

引用

页码：30 / 40

页数：11

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