MP49-02 IDENTIFYING PATIENT-PERCEIVED BARRIERS TO SEEKING AND ACCESSING HEALTHCARE: THE ROLE OF SOCIAL DETERMINANTS OF HEALTH

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP49-02 IDENTIFYING PATIENT-PERCEIVED BARRIERS TO SEEKING AND ACCESSING HEALTHCARE: THE ROLE OF SOCIAL DETERMINANTS OF HEALTH Dairon Denis-Diaz, Aliza Khuhro, Chase Arnold, Hafsa Asif, Zahra Khuhro, Essa Gul, Omar Alshami, Michael Sourial, Courtenay Moore, Cheryl Lee, and Tasha Posid Dairon Denis-DiazDairon Denis-Diaz More articles by this author , Aliza KhuhroAliza Khuhro More articles by this author , Chase ArnoldChase Arnold More articles by this author , Hafsa AsifHafsa Asif More articles by this author , Zahra KhuhroZahra Khuhro More articles by this author , Essa GulEssa Gul More articles by this author , Omar AlshamiOmar Alshami More articles by this author , Michael SourialMichael Sourial More articles by this author , Courtenay MooreCourtenay Moore More articles by this author , Cheryl LeeCheryl Lee More articles by this author , and Tasha PosidTasha Posid More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003297.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The next generation of physicians must be able to provide competent care to an increasingly diverse patient population. Understanding patient barriers to seeking/accessing healthcare of underserved and underrepresented communities is critical. Our objective was to assess patient-perceived barriers to seeking and accessing healthcare. We compared barriers reported by patients attending our University Hospital (UH) vs. patients attending a community free clinic. METHODS: Urology patients at our University Hospital (n=232) or being seen at a community free clinic (Urology: n=46, Non-Urology: n=137) completed a short survey following their visit, which assessed demographics, visit satisfaction, and barriers towards seeking and accessing healthcare across four domains: financial/insurance, cultural/language, condition stigma, health literacy. RESULTS: Urology patients seen at the community clinic reported more barriers compared to non-Urology patients at the clinic and Urology patients seen at UH (p<0.05). Community clinic Urology patients reported financial/insurance more barriers (p<0.01), particularly compared to UH patients (p<0.001). Linear regression modeling on our UH patients indicated that race (p=0.009) and how sensitive the patient perceived their doctor to be to their cultural needs (p=0.008) predicted satisfaction with their visit (p<0.001), while gender (p=0.007), race (p=0.051, marginal), native language (p=0.041) predicted whether they would recommend their provider. CONCLUSIONS: As we consider training the future workforce, educators must consider the increasingly diverse patient population that we serve, as well as the communities and settings in which they are seen. We should also consider that many academic institutions may see more affluent patient populations, so additional training should be given to learners where possible. Source of Funding: Funding: OSU Undergraduate Research Apprenticeship Program, OSU College of Medicine Educational Research Stimulus Grant, American Educational Research Association’s Education Research Service Projects Program, Arnold P. Gold Foundation © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e678 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Dairon Denis-Diaz More articles by this author Aliza Khuhro More articles by this author Chase Arnold More articles by this author Hafsa Asif More articles by this author Zahra Khuhro More articles by this author Essa Gul More articles by this author Omar Alshami More articles by this author Michael Sourial More articles by this author Courtenay Moore More articles by this author Cheryl Lee More articles by this author Tasha Posid More articles by this author Expand All Advertisement PDF downloadLoading ...