Addressing Financial Barriers to Health Care Among People Who are Low-Income and Insured in New York City, 2014-2017.
Community health worker
Financial barriers
Financial distress
Health care
Health disparities
Health insurance
Healthcare costs
New York city
Policy
Social determinants of health
Journal
Journal of community health
ISSN: 1573-3610
Titre abrégé: J Community Health
Pays: Netherlands
ID NLM: 7600747
Informations de publication
Date de publication:
04 2023
04 2023
Historique:
accepted:
08
11
2022
medline:
31
3
2023
pubmed:
4
12
2022
entrez:
3
12
2022
Statut:
ppublish
Résumé
While health care-associated financial burdens among uninsured individuals are well described, few studies have systematically characterized the array of financial and logistical complications faced by insured individuals with low household incomes. In this mixed methods paper, we conducted 6 focus groups with a total of 55 residents and analyzed programmatic administrative records to characterize the specific financial and logistic barriers faced by residents living in public housing in East and Central Harlem, New York City (NYC). Participants included individuals who enrolled in a municipal community health worker (CHW) program designed to close equity gaps in health and social outcomes. Dedicated health advocates (HAs) were explicitly paired with CHWs to provide health insurance and health care navigational assistance. We describe the needs of 150 residents with reported financial barriers to care, as well as the navigational and advocacy strategies taken by HAs to address them. Finally, we outline state-level policy recommendations to help ameliorate the problems experienced by participants. The model of paired CHW-HAs may be helpful in addressing financial barriers for insured populations with low household income and reducing health disparities in other communities.
Identifiants
pubmed: 36462106
doi: 10.1007/s10900-022-01173-6
pii: 10.1007/s10900-022-01173-6
pmc: PMC10060328
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
353-366Subventions
Organisme : NCCDPHP CDC HHS
ID : U48 DP005008
Pays : United States
Informations de copyright
© 2022. The Author(s).
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