Barriers to care among racial/ethnic groups under managed care

Health Aff (Millwood). 2000 Jul-Aug;19(4):65-75. doi: 10.1377/hlthaff.19.4.65.

Abstract

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.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Continuity of Patient Care / statistics & numerical data
  • Data Interpretation, Statistical
  • Ethnicity / statistics & numerical data*
  • Family Characteristics
  • Health Care Surveys
  • Health Services Accessibility / statistics & numerical data*
  • Humans
  • Managed Care Programs / statistics & numerical data*
  • Medicaid / statistics & numerical data
  • Patient Satisfaction
  • United States