Adolescents’ Views on Barriers to Health Care

Objectives : To determine from adolescents using health care their: 1) perceptions of barriers to obtaining health services, 2) views on how to overcome the barriers and 3) views on how to create an adolescent-friendly primary care practice. Design : Six focus group interviews. Methods : Adolescents...

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Main Authors: Sylvia W. Lim, Rosy Chhabra, Ayelet Rosen, Andrew D. Racine, Elizabeth M. Alderman
Format: Article
Language:English
Published: SAGE Publishing 2012-04-01
Series:Journal of Primary Care & Community Health
Online Access:https://doi.org/10.1177/2150131911422533
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author Sylvia W. Lim
Rosy Chhabra
Ayelet Rosen
Andrew D. Racine
Elizabeth M. Alderman
author_facet Sylvia W. Lim
Rosy Chhabra
Ayelet Rosen
Andrew D. Racine
Elizabeth M. Alderman
author_sort Sylvia W. Lim
collection DOAJ
description Objectives : To determine from adolescents using health care their: 1) perceptions of barriers to obtaining health services, 2) views on how to overcome the barriers and 3) views on how to create an adolescent-friendly primary care practice. Design : Six focus group interviews. Methods : Adolescents 11-21 years old from three health centers in the Bronx were recruited. Main Outcome Measures: 1) barriers to accessing health care such as insurance, language barriers, transportation, making an appointment; 2) identifying barriers related to issues of consent and confidentiality; 3) exploring barriers to accessing mental health and related issues; and 4) their visions of an adolescent-friendly office. Results : Thirty-one adolescents, aged 11-21 years old, participated. The majority were Hispanic and 52% were female. Fifty percent of adolescents had a routine visit within the past month. Most adolescents reported experiencing barriers to making an appointment. Additionally, they complained about long waiting times to be seen by providers on the day of their scheduled appointment. Another key barrier was related to knowledge and perceptions about consent and confidentiality. Further, in regard to mental health, many adolescents from focus groups reported that they felt that their primary providers had little interest in this topic and limited knowledge about it. Most of the adolescents reported no barriers with insurance, language or transportation. Their visions of an adolescent-friendly office would include a separate adolescent waiting area equipped with entertainment units. Conclusion: In this study of adolescents who already have primary care providers and are seemingly well-connected to the health care system, there remained significant reported barriers to accessing necessary health services.
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spelling doaj.art-70c4f7a31a4e4727848477198561454c2022-12-22T02:00:15ZengSAGE PublishingJournal of Primary Care & Community Health2150-13192150-13272012-04-01310.1177/2150131911422533Adolescents’ Views on Barriers to Health CareSylvia W. Lim0Rosy Chhabra1Ayelet Rosen2Andrew D. Racine3Elizabeth M. Alderman4Albert Einstein College of Medicine/Children’s Hospital at Montefiore, Bronx, NY, USAAlbert Einstein College of Medicine/Children’s Hospital at Montefiore, Bronx, NY, USAUniversity of California Los Angeles, CA, USAAlbert Einstein College of Medicine/Children’s Hospital at Montefiore, Bronx, NY, USAAlbert Einstein College of Medicine/Children’s Hospital at Montefiore, Bronx, NY, USAObjectives : To determine from adolescents using health care their: 1) perceptions of barriers to obtaining health services, 2) views on how to overcome the barriers and 3) views on how to create an adolescent-friendly primary care practice. Design : Six focus group interviews. Methods : Adolescents 11-21 years old from three health centers in the Bronx were recruited. Main Outcome Measures: 1) barriers to accessing health care such as insurance, language barriers, transportation, making an appointment; 2) identifying barriers related to issues of consent and confidentiality; 3) exploring barriers to accessing mental health and related issues; and 4) their visions of an adolescent-friendly office. Results : Thirty-one adolescents, aged 11-21 years old, participated. The majority were Hispanic and 52% were female. Fifty percent of adolescents had a routine visit within the past month. Most adolescents reported experiencing barriers to making an appointment. Additionally, they complained about long waiting times to be seen by providers on the day of their scheduled appointment. Another key barrier was related to knowledge and perceptions about consent and confidentiality. Further, in regard to mental health, many adolescents from focus groups reported that they felt that their primary providers had little interest in this topic and limited knowledge about it. Most of the adolescents reported no barriers with insurance, language or transportation. Their visions of an adolescent-friendly office would include a separate adolescent waiting area equipped with entertainment units. Conclusion: In this study of adolescents who already have primary care providers and are seemingly well-connected to the health care system, there remained significant reported barriers to accessing necessary health services.https://doi.org/10.1177/2150131911422533
spellingShingle Sylvia W. Lim
Rosy Chhabra
Ayelet Rosen
Andrew D. Racine
Elizabeth M. Alderman
Adolescents’ Views on Barriers to Health Care
Journal of Primary Care & Community Health
title Adolescents’ Views on Barriers to Health Care
title_full Adolescents’ Views on Barriers to Health Care
title_fullStr Adolescents’ Views on Barriers to Health Care
title_full_unstemmed Adolescents’ Views on Barriers to Health Care
title_short Adolescents’ Views on Barriers to Health Care
title_sort adolescents views on barriers to health care
url https://doi.org/10.1177/2150131911422533
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AT elizabethmalderman adolescentsviewsonbarrierstohealthcare