Pediatric Healthcare Needs and Barriers Self-Reported by a Rural Hispanic Community

León, Juan José Ponce; Guthrie, Kourtney K; Rueda, Carolina; Cruz, Diomel de la; Montoya-Williams, Diana

doi:10.7759/cureus.11999

Cited by 3 publications

(3 citation statements)

References 19 publications

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“…James et al (2017) found that racial and ethnic minority populations in rural areas generally lacked access to health care and had significant health challenges. For example, immigrant children were extremely likely to be uninsured, despite the fact that they were eligible for public health insurance if their parents could not obtain private alternatives; and access to insurance was a significant barrier parents faced in providing for their children (Leon et al, 2020). Thus, interpretations of aggregated population data may obscure the heightened disparities within marginalized populations.…”

Section: Health Insurance Eligibility and Affordabilitymentioning

confidence: 99%

Georgia Health Care Providers’ Experiences With Community Public Health Clients

Rodriguez,

Manley,

Bharwani

2023

Journal of Human Services

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Community health and human services workers play an integral role in communal public health. They are especially integral to meeting the needs of patients who are often on the margins of society. While we often conduct research from the perspective of the end-user – the patient or the client – we do not hear the voices of health and human services professionals with the same regularity. The purpose of this study is to examine the healthcare needs of public health patients from the perspective of community health providers in two Georgia counties. Through this case study, utilizing qualitative data garnered through three focus groups with the local public health department’s employees and affiliated human services providers as part of their quintennial Community Health Needs Assessment (CHNA), we call attention to several individual and systemic issues providers have identified as worthy of concern. These include health seeking information and behaviors of their clients, as well as the role of health insurance and health access for improved physical, mental, and sexual health. Systemically, providers identify the challenges of status, stigma, and consumer perceptions in the access and quality of care certain segments of the population receive and how provider bias can impede wellbeing. Although the CHNA data collection took place prior to the COVID-19 pandemic, our examination of the data took place during the height of the pandemic. As such, in this paper, we also provide practical implications and future directions for public health and human services providers who have endured the pandemic and sought to meet their patients’ needs during unprecedented circumstances.

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Section: Health Insurance Eligibility and Affordabilitymentioning

confidence: 99%

Georgia Health Care Providers’ Experiences With Community Public Health Clients

Rodriguez,

Manley,

Bharwani

2023

Journal of Human Services

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“…A profile of the uninsured shows lower educational attainment, poor health literacy, and poverty ( 1 , 45 ). These adverse social characteristics may be particularly profound among marginalized populations as depicted in Figure 1 ( 46 ). The significance of adequate health insurance coverage was demonstrated by a study that examined the impact of the Medicaid expansion program on the risk of kidney disease ( 47 ).…”

Section: Structural Barriers To Accessing Kidney Servicesmentioning

confidence: 99%

Structural Inequities and Barriers to Accessing Kidney Healthcare Services in the United States: A Focus on Uninsured and Undocumented Children and Young Adults

Iorember

Bamgbola

2022

Front. Pediatr.

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The population of children living in poverty and lacking healthcare insurance has increased in the United States of America in the last decade. Several factors have been responsible for this trend including illegal immigration, socioeconomic deprivation, young age, racial segregation, environmental degradation, and discriminatory housing policies. These systemic barriers have contributed to the exclusion of families from essential healthcare services. They are also contributory to the development of chronic illnesses (such as dialysis-dependent kidney disease) that are debilitating and frequently require considerable therapeutic resources. This unfortunate scenario creates a never-ending vicious cycle of poverty and diseases in a segment of society. For pediatric nephrologists, the challenges of caring for uninsured children with chronic kidney disease are all too familiar. Federally funded healthcare programs do not cover this patient population, leaving them the option of seeking care in emergency healthcare settings. Presentation with a critical illness often necessitates urgent placement of vascular catheters and the choice of acute hemodialysis. Adverse social environment influences the need for protracted chronic hemodialysis and a delay in kidney transplantation. Consequently, there is greater comorbidity, recurrent hospitalization, and a higher mortality rate. New policies should address the deficit in health insurance coverage while promoting social programs that will remove structural barriers to health care resources for undocumented children and young adults.

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“…Yet, people born outside of the United States often do not qualify for state-funded health insurance and therefore frequently access healthcare through safety-net clinics (4). In a rural Hispanic community that has access to safety-net clinics, patients still felt their preventative health needs were not being met (5). Thus, infrequent access to preventative healthcare for uninsured families could create a knowledge gap on general preventative services such as ASD screening.…”

Section: Introductionmentioning

confidence: 99%

The impact of primary care access on autism spectrum disorder awareness in an underserved population

O’Donnell,

Schmidt,

Butler

2023

Front. Public Health

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American Academy of Pediatrics (AAP) recommendations for Autism Spectrum Disorder (ASD) screening do not specifically address safety-net clinics, which provide multidisciplinary healthcare services to underserved patients. This project explored the potential for ASD screening in safety-net clinics by assessing parental perceived knowledge of ASD at JayDoc Free Clinic, a student-run safety-net clinic in Wyandotte County, Kansas. May through December 2022, patients who reported to be the parent of a minor received a demographic survey and a Likert-style questionnaire assessing perceived knowledge of ASD, including understanding the importance of ASD screening and ASD signs and symptoms. Responses were categorized into positive, negative, and unsure. Demographic variables included the minor’s primary care provider (PCP) status. Results were analyzed using bivariate analysis, with chi-square tests for significance (p-value ≤ 0.05). Of the 52 participants who completed at least one Likert response, 55.8% reported their child had a PCP. Responses were somewhat balanced with 44.2% positive for understanding the importance of ASD screening and 53.8% positive for understanding ASD signs and symptoms. For understanding the signs and symptoms of ASD, an unsure response (32.7% of responses) was statistically associated with a lack of PCP (p = 0.017). The balance of positive with negative and unsure responses could reflect lack of ASD knowledge and may relate to healthcare inaccessibility. This is consistent with the significant association between lack of PCP and unsure responses for understanding ASD signs and symptoms. ASD screening and education in safety-net clinics like JayDoc could be valuable, particularly for children without a PCP.

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Pediatric Healthcare Needs and Barriers Self-Reported by a Rural Hispanic Community

Cited by 3 publications

References 19 publications

Georgia Health Care Providers’ Experiences With Community Public Health Clients

Georgia Health Care Providers’ Experiences With Community Public Health Clients

Structural Inequities and Barriers to Accessing Kidney Healthcare Services in the United States: A Focus on Uninsured and Undocumented Children and Young Adults

The impact of primary care access on autism spectrum disorder awareness in an underserved population

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