Barriers to healthcare access among refugees with disabilities and chronic health conditions resettled in the US Midwest.
Chronic conditions and related functional disabilities are highly prevalent among resettled refugees in the United States. There is a need to explore this population's access to appropriate healthcare services in order to identify service disparities and improve interventions. Using a community-based participatory research approach, semi-structured interviews were conducted with key informants to identify healthcare access barriers affecting disabled and chronically ill refugees. Eighteen participants were interviewed, revealing three main barriers: (1) inadequate health insurance, (2) language and communication barriers, and (3) a complex maze of service systems. These barriers were found to operate at systems, provider, and individual levels. Broad-based policy and practice interventions are required to address barriers including: an expanded pool of medical interpreters, peer navigators, innovative health information technologies, and greater collaboration and information-sharing between service systems. Further research is needed to monitor the impact the Affordable Care Act on service access of refugees with disabilities and chronic conditions.
Department of Occupational Therapy, College of Applied Health Science, University of Illinois at Chicago, 1919 W. Taylor St, Chicago, IL, 60612, USA, mmirza2@uic.edu.
Mansha
M
Mirza
Rene
R
Luna
Bhuttu
B
Mathews
Rooshey
R
Hasnain
Elizabeth
E
Hebert
Allison
A
Niebauer
Uma Devi
UD
Mishra
D002908:Chronic Disease; D055812:Community-Based Participatory Research; D006233:Persons with Disabilities; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D019458:Insurance Coverage / Q000706:statistics & numerical data; D007407:Interviews as Topic; D007802:Language; D008297:Male; D015146:Midwestern United States; D058991:Patient Protection and Affordable Care Act; D012036:Refugees