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Barriers to Primary Care

Author

Listed:
  • Deborah A. D’Avolio
  • Neville E. Strumpf
  • James Feldman
  • Patricia Mitchell
  • Casey M. Rebholz

Abstract

This purpose of this mixed methods study was to understand access to primary care among older adults who present to an inner city emergency department (ED) for nonurgent care. Questionnaires ( N = 62) included demographic, illness characteristics, and health care utilization. Qualitative interviews ( N = 20) were conducted. Data was analyzed using descriptive statistics, and qualitative methodology. More than half of the participants were female (60%), African American (57%) and pain was the presenting symptoms among 48% of the participants. Nearly all participants reported barriers to primary care; difficulty with phone systems and staff, and lack of available appointments resulting in an ED visit. Older adults face barriers accessing primary care and as a result, can turn to the ED for their primary care needs. Interventions to improve access for vulnerable older adults might have benefits not only for patient outcomes but also for health policy issues related to cost effective care and overcrowded EDs.

Suggested Citation

  • Deborah A. D’Avolio & Neville E. Strumpf & James Feldman & Patricia Mitchell & Casey M. Rebholz, 2013. "Barriers to Primary Care," Clinical Nursing Research, , vol. 22(4), pages 416-431, November.
    • Handle: RePEc:sae:clnure:v:22:y:2013:i:4:p:416-431
    DOI: 10.1177/1054773813485597
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    References listed on IDEAS

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    1. Ryvicker, Miriam & Gallo, William T. & Fahs, Marianne C., 2012. "Environmental factors associated with primary care access among urban older adults," Social Science & Medicine, Elsevier, vol. 75(5), pages 914-921.
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