Browsing by Subject "health care access"
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Item Barriers to Health Care Access Among Vietnamese Refugees in Tarrant County, Texas.(2004-05-01) Le, Tuan D.; Hsu, Chiehwen Ed; Lurie, Sue; Sandhu, RaghbirLe, Tuan D., Barriers to Health Care Access among Vietnamese Refugees in Tarrant County, Texas. Master of Public Health (Health Management & Policy), May 2004, 88 pp., 17 tables, 11 illustrations, bibliography, 56 titles. The refugee community is the most vulnerable community due to existing medical conditions without proper treatment and many barriers in accessing the health care system, including different language, cultural conflict, legal restrictions, and socioeconomic status. The purpose of this study is to determine the nature of these barriers that keep the Vietnamese refugees from accessing the health care system in Tarrant County. The study found that 45.8% have no health insurance, 17.4% received Medicaid, 53.7% have no primary care physician, and 57.14% of Vietnamese elderly refugees, who have been living in the U.S. between seven and ten years, and have lost SSI and Medicaid. These findings are significant at p [less than] .001. Vietnamese refugees perceived factors that kept them from accessing the health care system as major barriers, including language (14%), legal issues (17%), misunderstanding of the medical system (15%), lack of insurance (14%), and different culture (11%). These results may assist social service providers, health care providers, and policy activists to enhance their services and advocate for legal issues, in order to remove these barriers and help refugees to access health care better.Item Ethnic Disparities in Obtaining Medical Care and Perception of Health Care in Post-Apartheid South Africa(2010-05-01) Kon, Zeida R.; Lackan, NuhaExploring health disparities in access to health care is a subject of great relevance not only in the United States but also around the world. This dissertation focuses on access to health care in South Africa and perceptions of the government’s handling of health care. In order to explore these topics, data from Rounds 1 (2000) and 2.5 (2004) of the Afrobarometer Survey of South Africa were examined. Logistic regression analysis was used to assess the relationship among four major ethnic groups in the perception of how the government is improving health services and if the respondent had gone without medical care controlling for the independent effects of selected sociodemographic, structure and health care need variables. Blacks and Coloreds are the most disadvantaged groups in South Africa and despite having less access to medical care, perceive the government to be handling improving health care well compared to Whites. Blacks have a higher probability of going without medical care than any other ethnic group. A positive trend was identified between 2000 and 2004. The percentage of respondents reporting having gone without medical care decreased and the percentage that perceive that the government is handling health care well has increased for all ethnic groups. Although the percentages have improved, the regression analysis shows clear ethnic disparities. Blacks’ likelihood of perceiving the government to be handling health care well has decreased, dropping from eight times more likely to five times more likely than Whites in 2004. Blacks are still more likely than Whites to go without medical care, increasing from 1.5 to 2.0 times more likely in 2004. Further research is needed to uncover the layers of health disparities currently burdening the country and the disconnect between the reality and perception of health care. The possibility that South Africa is again being divided by ethnic lines and that disparities are a result of these ethnic divides should be explored.