PD40-08 EXPLORING BARRIERS TO HEALTHCARE IN UNDERSERVED MINORITY POPULATIONS IN CENTRAL OHIO

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Practice Patterns, Quality of Life and Shared Decision Making IV (PD40)1 Apr 2020PD40-08 EXPLORING BARRIERS TO HEALTHCARE IN UNDERSERVED MINORITY POPULATIONS IN CENTRAL OHIO Tasha Posid*, Sabrina Amin, Kerestina Khalil, Michael Sourial, David Sharp, and Cheryl Lee Tasha Posid*Tasha Posid* More articles by this author , Sabrina AminSabrina Amin More articles by this author , Kerestina KhalilKerestina Khalil More articles by this author , Michael SourialMichael Sourial More articles by this author , David SharpDavid Sharp More articles by this author , and Cheryl LeeCheryl Lee More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000920.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: As the cultural and ethnic landscape of the United States continues to evolve and grow, the issue of how to best accommodate and serve different patient populations must be addressed. In a clinical setting, barriers to seeking healthcare could include language, financial and insurance status, cultural differences or stigmas, and/or health literacy (i.e. an understanding of one’s own condition). The objective of this study was to investigate patient-perceived barriers to seeking healthcare by underserved groups in Central Ohio, including urology patients treated at a local underserved community clinic. METHODS: Patient focus groups and surveys administered via paper/pencil were utilized for this study (n=35 participants). Patients were asked to identify perceived barriers to seeking care, attitudes towards seeking urologic healthcare, and attitudes towards seeking healthcare via a free community clinic. RESULTS: Three primary barriers to seeking healthcare emerged: Cultural Constraints, Financial Constraints, and Health Literacy. Financial Constraints (e.g., having insurance, taking off of work, cost) were of significant concern (p<.01), whereas Health Literacy and Cultural Constraints (not speaking English, immigrant status) were not significant concerns (ps>.1; Figure 1). Although non-urologic patients did not feel that stigma existed surrounding their medical condition (p>.1), they did feel that stigma existed around urologic healthcare in general (p<.05; Figure 2). CONCLUSIONS: This study systematically investigated barriers to seeking healthcare from the perspective of an underserved, diverse patient population. Patients reported financial constraints to be significant barrier to seeking healthcare, above and beyond cultural and health literacy constraints. Urologic conditions were associated with some stigma, and moreso than non-urologic conditions. These results should be used to inform clinical care and the development of trainee cross-cultural initiatives to reduce these perceived barriers. Source of Funding: 1. Arnold P. Gold Foundation: Picker Gold Challenge Grants for Residency Training Program 2. American Educational Research Association’s Education Research Service Projects Award 3. Office of Undergraduate Research & Creative Inquiry: Buck Tank Undergraduate Research Grant © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e818-e818 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Tasha Posid* More articles by this author Sabrina Amin More articles by this author Kerestina Khalil More articles by this author Michael Sourial More articles by this author David Sharp More articles by this author Cheryl Lee More articles by this author Expand All Advertisement PDF downloadLoading ...