Effect of high up front charges on access to surgery for poor patients at a public hospital in New Mexico

Kaufman, Will; Chavez, Augustine; Skipper, Betty; Kaufman, Arthur

doi:10.1186/1475-9276-5-6

Cited by 5 publications

(6 citation statements)

References 4 publications

(4 reference statements)

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“…Furthermore, the positive impact of health insurance on increasing use of PCC facilities has been shown in several studies. [ 23 25 33 ] In this study, midwives and gynecologists provided 15.9% and 64.5% of PCC, respectively. Mastroiacovo et al .…”

Section: Discussionmentioning

confidence: 93%

Determining the status of preconception care model in pregnant woman of Gorgan city (North of Iran) using structural equation modeling (SEM)

Nikbakht

Borghei

Ebady

et al. 2022

Journal of Education and Health Promotion

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BACKGROUND: Preconception reduces unplanned pregnancies and plays an important role in reducing maternal and infant mortality. Considering the importance of these care services, this study was conducted to determine the status of preconception care (PCC) model with Structural Equation Modeling (SEM). MATERIALS AND METHODS: This cross-sectional descriptive study was conducted on 394 pregnant women referring to Gorgan's health centers. Samples were selected by multi-stage stratified sampling method. The instrument used in this research was a researcher-made questionnaire by Bayrami. Data were analyzed using R software version 4.1.4. Structural equation modeling (SEM) with weighted least square mean and variance method was used to fit the conceptual model and the significance level of the tests was considered 0.05. RESULTS: The results showed that PCC model was deemed appropriate as optimum conditions indicators of goodness of fit; knowledge with a coefficient of 0.182 leads to self-efficacy (SE), and SE affects the accessibility of facilities with a coefficient of 0.465 and the expected outcome with a coefficient of 0.500. After facility structure with a coefficient of 0.500, SE construct with a coefficient of 0.215 had the most effect on performing PCC behavior. CONCLUSIONS: Facilities and SE as a key element of empowerment have an important role in promoting PCC. Identifying the factors associated with this care appears to help health policymakers to planning for these caregivers more precise and sensitive.

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Section: Discussionmentioning

confidence: 93%

Determining the status of preconception care model in pregnant woman of Gorgan city (North of Iran) using structural equation modeling (SEM)

Nikbakht

Borghei

Ebady

et al. 2022

Journal of Education and Health Promotion

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“…In a study conducted by Kaufman et al it was found that patients who pay for their treatment themselves are more likely to cancel their surgery than those who are insured (39). Therefore, if government and private sector support is provided for the whole community through expanding insurance coverage, access to health care services will be improved.…”

Section: Discussionmentioning

confidence: 99%

Perceived Behavioral Control in Mammography: A Qualitative Study of Iranian Women’s Experiences

et al. 2019

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Background: Mammography is one of the best methods to screen breast cancer. Because mammography screening is not entirely under the control of the person, the study of perceived behavioral control (PBC) is valuable in this regard. Objectives:The aim of this study was to investigate PBC in mammography in women in Khorramabad, Lorestan province, Iran (550 kilometers north of Persian Gulf). Methods: In this qualitative study conducted using semi-structured and in-depth interviews, 22 women, a gynecologist, and a general surgeon were interviewed purposively. The interviews were recorded, transcribed, and analyzed, using the directed qualitative content analysis. The MAXQDA10 software was used to analyze the data. Results: Two categories, namely facilitators and barriers to mammography screening and 5 subcategories, namely individual facilitators, social facilitators, psychosocial barriers, barriers related to mammography technique, and structural barriers were drawn from the data. Individual facilitators included having faith and heart belief in God (Faith in God was a comfort for the participants and the acceptance of God's favor), family support, and follow-up; the only social facilitator drawn was respecting the rights of the referring people; psychosocial barriers were embarrassment, fear of breast cancer diagnosis, and belief in fate; the barriers related to mammography technique were radiation and painful mammography and lack of insurance; and high costs and long wait in public mammography centers were drawn as structural barriers. Conclusions:The results of this study provided useful information about the experiences regarding mammography. Psychological barriers may be reduced by changing women's knowledge and attitudes toward mammography, as well as by changing the national health system infrastructure. It is also recommended to strengthen cultural and religious beliefs along with holding training programs regarding mammography performing.

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“…Since most low-income immigrant patients were not able to pay 50% out of pocket, either they did not access care or they experienced limited access. For instance, a study 8 assessing the impact of the financial assistance policy on undocumented immigrant patients found that compared to those with insurance, the majority (56% vs. 9%) had their recommended elective surgeries cancelled, presumably because they couldn’t afford the 50% up-front payment required of those who are uninsured and not in the UNM Care Program.…”

Section: The Tension Among Service Delivery Policy and Medical Educmentioning

confidence: 99%

The Potential Conflict Between Policy and Ethics in Caring for Undocumented Immigrants at Academic Health Centers

et al. 2014

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Academic health centers (AHCs) are at the forefront of delivering care to the diverse medically underserved and uninsured populations in the United States, as well as training the majority of the health care workforce, who are professionally obligated to serve all patients regardless of race or immigration status. Despite AHCs' central leadership role in these endeavors, few consolidated efforts have emerged to resolve potential conflicts between national, state, and local policies that exclude certain classifications of immigrants from receiving federal public assistance and health professionals' social missions and ethical oath to serve humanity. For instance, whereas the 2010 Patient Protection and Affordable Care Act provides a pathway to insurance coverage for more than 30 million Americans, undocumented immigrants and legally documented immigrants residing in the United States for less than five years are ineligible for Medicaid and excluded from purchasing any type of coverage through state exchanges. To inform this debate, the authors describe their experience at the University of New Mexico Hospital (UNMH) and discuss how the UNMH has responded to this challenge and overcome barriers. They offer three recommendations for aligning AHCs' social missions and professional ethics with organizational policies: (1) that AHCs determine eligibility for financial assistance based on residency rather than citizenship, (2) that models of medical education and health professions training provide students with service-learning opportunities and applied community experience, and (3) that frontline staff and health care professionals receive standardized training on eligibility policies to minimize discrimination towards immigrant patients.

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Effect of high up front charges on access to surgery for poor patients at a public hospital in New Mexico

Cited by 5 publications

References 4 publications

Determining the status of preconception care model in pregnant woman of Gorgan city (North of Iran) using structural equation modeling (SEM)

Determining the status of preconception care model in pregnant woman of Gorgan city (North of Iran) using structural equation modeling (SEM)

Perceived Behavioral Control in Mammography: A Qualitative Study of Iranian Women’s Experiences

The Potential Conflict Between Policy and Ethics in Caring for Undocumented Immigrants at Academic Health Centers

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