Barriers to care among racial/ethnic groups under managed care.
We describe barriers to care reported by racial/ethnic groups and explore the extent to which barriers vary between persons enrolled in managed care and those in non-managed care plans, using data from the 1996 Medical Expenditure Panel Survey (MEPS). Most respondents expressed satisfaction with their care; however, a substantial percentage reported experiencing barriers. Minorities, particularly Hispanics and Asian Americans, were more likely than non-Hispanic whites were to report barriers. Managed care enrollees across racial/ethnic groups faced different types of barriers than non-managed care enrollees did. Although managed care enrollees were more likely to report having a usual source of care and greater continuity of care, they also reported more difficulties obtaining care and less satisfaction with their care.
Phillips
K A
KA
Department of Clinical Pharmacy, University of California, San Francisco, USA.
Mayer
M L
ML
Aday
L A
LA
D003266:Continuity of Patient Care / Q000706:statistics & numerical data; D003627:Data Interpretation, Statistical; D005006:Ethnicity / Q000706:statistics & numerical data*; D005191:Family Characteristics; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D008329:Managed Care Programs / Q000706:statistics & numerical data*; D008484:Medicaid / Q000706:statistics & numerical data; D017060:Patient Satisfaction; D014481:United States