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Addressing Financial Barriers to Health Care Among People Who are Low-Income and Insured in New York City, 2014-2017.

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اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: Springer Country of Publication: Netherlands NLM ID: 7600747 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3610 (Electronic) Linking ISSN: 00945145 NLM ISO Abbreviation: J Community Health Subsets: MEDLINE
    • بيانات النشر:
      Publication: Amsterdam : Springer
      Original Publication: New York, Human Sciences Press.
    • الموضوع:
      Delivery of Health Care* ; Poverty*; Humans ; New York City ; Focus Groups
    • نبذة مختصرة :
      While health care-associated financial burdens among uninsured individuals are well described, few studies have systematically characterized the array of financial and logistical complications faced by insured individuals with low household incomes. In this mixed methods paper, we conducted 6 focus groups with a total of 55 residents and analyzed programmatic administrative records to characterize the specific financial and logistic barriers faced by residents living in public housing in East and Central Harlem, New York City (NYC). Participants included individuals who enrolled in a municipal community health worker (CHW) program designed to close equity gaps in health and social outcomes. Dedicated health advocates (HAs) were explicitly paired with CHWs to provide health insurance and health care navigational assistance. We describe the needs of 150 residents with reported financial barriers to care, as well as the navigational and advocacy strategies taken by HAs to address them. Finally, we outline state-level policy recommendations to help ameliorate the problems experienced by participants. The model of paired CHW-HAs may be helpful in addressing financial barriers for insured populations with low household income and reducing health disparities in other communities.
      (© 2022. The Author(s).)
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    • Grant Information:
      U48 DP005008 United States DP NCCDPHP CDC HHS
    • Contributed Indexing:
      Keywords: Community health worker; Financial barriers; Financial distress; Health care; Health disparities; Health insurance; Healthcare costs; New York city; Policy; Social determinants of health
    • الموضوع:
      Date Created: 20221203 Date Completed: 20230331 Latest Revision: 20230404
    • الموضوع:
      20250114
    • الرقم المعرف:
      PMC10060328
    • الرقم المعرف:
      10.1007/s10900-022-01173-6
    • الرقم المعرف:
      36462106