Differences in Barriers to Medical Care Among Children's Health Outreach Initiative (CHOI) Clients
| Unadjusted % (n) | Adjusted* | ||
|---|---|---|---|
| Have You Been Delaying or Avoiding Care Due to… | Comparison (n = 182) | Intervention (n = 123) | Odds Ratio (95% CI) |
| Insurance and cost barriers | |||
| Lack of health insurance | 61.5 (112) | 36.6 (45) | 0.3 (0.2-0.5)3 |
| Insurance/health plan that did not approve or pay for the visit | 28.0 (51) | 21.1 (26) | 0.7 (0.4-1.2) |
| Could not afford to pay for the visit | 53.0 (96) | 35.8 (44) | 0.4 (0.3-0.7)† |
| Knowledge barriers | |||
| No usual place of care | 48.9 (89) | 33.3 (41) | 0.4 (0.2-0.7)† |
| Did not know how or where to get care | 47.2 (85) | 28.7 (35) | 0.4 (0.2-0.7)† |
| Clinic barriers | |||
| Did not like clinic or provider | 11.7 (21) | 13.9 (17) | 1.4 (0.6-3.0) |
| Could not get an appointment in a timely manner | 26.4 (48) | 27.6 (34) | 1.4 (0.8-2.4) |
| Could not contact the clinic over the phone | 18.1 (33) | 19.5 (24) | 1.1 (0.6-2.2) |
| Long wait times to see the doctor | 22.1 (40) | 23.6 (29) | 1.1 (0.6-2.0) |
| Clinic was closed when they could go | 20.3 (37) | 14.6 (18) | 0.8 (0.4-1.5) |
| Other barriers | |||
| Lack of transportation | 19.8 (36) | 9.7 (12) | 0.4 (0.2-0.9)† |
| Could not take time off work or leave children/family | 30.2 (55) | 20.3 (25) | 0.6 (0.4-1.2) |
| Fear of getting medical care | 18.7 (34) | 17.1 (21) | 0.7 (0.4-1.5) |
| Language, communication, cultural problems | 12.6 (23) | 12.2 (15) | 0.6 (0.3-1.3) |