查看文章

Background:

Although the Affordable Care Act has been successful in expanding Medicaid to> 17 million people, insurance alone may not translate into access to health care. Even among the insured, substantial barriers to accessing services inhibit health care utilization.

Objectives:

We examined the effect of selected barriers to health care access and the magnitude of those barriers on health care utilization.

Research Design:

Data come from a 2008 survey of adult enrollees in Minnesota’s public health care programs. We used multivariate logistic regression to estimate the effects of perceived patient, provider, and system-level barriers on past year delayed, foregone, and lack of preventive care.

Subjects:

A total of 2194 adults enrolled in Minnesota Health Care Programs who were mostly female (66%), high school graduates (76%), unemployed (62%), and living in metro areas (67%) were included in the analysis …