3115.1 Disparities in Healthcare: How Access to Care Impacts Diverse Populations

Monday, November 9, 2009: 10:30 AM
Millions of Americans are without adequate health insurance, and in conjunction with the rising costs of care, many people forgo treatment and preventive medical care. Free clinics serve as the foundation in providing primary care for the increasing uninsured population. A study presented in this session focuses on the demographic characteristics of clients using a free health, thus placing an emphasis on the health disparities that exist across ethnic lines. A study evaluating whether traveling distance is an impediment in cancer colonoscopy screening usage among patients to better understand patient decision in a diverse population. As policy makers evaluate health system reforms designed to expand health insurance coverage in the U.S, the question remains if expanded health coverage will result in effective and efficient access to care across racial and ethnic lines. Further included in this session is an example of methods developed to evaluate the efficiency of a health care clinic in providing access and better quality medical services.
Session Objectives: Understand the relationship between travel distance and likelihood of use of colonoscopy among patients aged eligible for screening. Compare racial/ethnic differences in access to outpatient healthcare and discuss initiatives to be considered in reducing racial/ethnic disparities in healthcare access. Describe the benefits of using a conceptual framework as a basis for program evaluation and list some challenges arising in participatory research.

10:45 AM
Does Distance Matter? Assessing the Relationship between Travel Distance Patients Encounter and their Uses of Recommended Screening Colonoscopy
Lekhena Sros, PhD (c), Sudha Xirasagar, MBBS, PhD, Thomas G. Hurley, MS, Ali Mansaray, PhD (c), Janice C. Probst, PhD, James W. Hardin, PhD and James R. Hebert, ScD
10:30 AM
Defining geographic areas for complex interventions to address health disparities
Mischka Garel, MPH, Ellen Cromley, PhD, Michelle Ramos, MPH, Barbara Brenner, DrPH, MSW, Guedy Arniella, LCSW, David Lutz, BA and Carol Horowitz, MD, MPH
11:00 AM
Characteristics of Clients Using a Free Health Center
Jenny D. Byelick, BS, Stephen Notaro, PhD, Idethia Shevon Harvey, PhD, Nick Guastalli, Richard Rechenmacher, Megan Eiten and Stephanie Shaw

See individual abstracts for presenting author's disclosure statement and author's information.

Organized by: Community Health Planning and Policy Development
Endorsed by: Asian Pacific Islander Caucus for Public Health, Latino Caucus, Socialist Caucus

CE Credits: Medical (CME), Health Education (CHES), Nursing (CNE), Public Health (CPH)