Noneconomic Barriers to Health Care Utilization by African-Americans

Many efforts have been made to maximize the utilization of health cue system. As a result the utilization of health care system by African Americans has increased, improving the health status (Blendon, Aiken, Freeman, & Corey, 1989). While some improvements have been made, recent reports show disparities between African Americans and Caucasians in the utilization of health care systems and in their health status. Barriers have been identified among those in the lower social economic status (SES). These barriers impede health care utilization and negatively affect health status. However, studies show that among some African Americans when health care is affordable and available, the utilization of health care systems is not maximized. This suggests there are noneconomic barriers impeding access to and the utilization of health care systems for some African Americans. This phenomenological study was based on Van Manen's hermeneutic phenomenological approach (Van Manen, 1990). Data were collected from participants on their experiences gaining access to and utilizing health care systems. As data were analyzed, six themes emerged. These themes were: delay before seeking health care services, fear, distrust, quality of care, racism and long waiting time. Six of the original participants formed a focus group and through a dialectic process, gave meaning to the identified themes. Most of these themes continue to affect how African Americans gain access to and utilize health care systems.

Name thesis:degree_name

PhD Nursing

Level thesis:degree_level

Dissertation: Open Access

Discipline thesis:degree_discipline

Nursing

Year dc:date.available

2000

Author dc:creator

• Tarver, Johnie M., PhD, MSN, RN

• African Americans
• health care utilization
• non-economic barriers
• nursing

Repository record dc:identifier

https://digital.sandiego.edu/dissertations/293

OAI identifier oai:identifier

oai:digital.sandiego.edu:dissertations-1296