Perceived barriers to care in a pediatric medical home: the moderating role of caregiver minority status

Clin Pediatr (Phila). 2014 Apr;53(4):351-5. doi: 10.1177/0009922813507994. Epub 2013 Nov 6.


Objective: To examine the association of minority status to perceived barriers to care and health-related quality of life in families presenting to a Medical Home.

Method: Fifty-three caregivers were classified as minority or nonminority caregivers based on self-reported race/ethnicity. Caregivers completed a measure of perceived barriers to care and child health-related quality of life.

Results: Minority caregivers reported more perceived barriers to care with regard to the pragmatics of obtaining health care. The association between perceived barriers to care and child health-related quality of life was moderated by minority status. Perceived barriers to care were only related to child health-related quality of life among minority caregivers.

Conclusion: Minority families may have difficulties with the cost of health care or logistics of obtaining health care for their child. Perceived health care barriers may still exist within pediatric Medical Homes for minority caregivers and affect child health-related quality of life.

Keywords: barriers to care; minority; quality of life.

MeSH terms

  • Academic Medical Centers*
  • Adult
  • Caregivers / statistics & numerical data*
  • Child
  • Female
  • Health Care Costs / statistics & numerical data
  • Health Services Accessibility / statistics & numerical data*
  • Humans
  • Male
  • Minority Groups / statistics & numerical data*
  • Patient-Centered Care / methods
  • Patient-Centered Care / statistics & numerical data
  • Pediatrics / methods*
  • Quality of Life
  • Surveys and Questionnaires