Physician Perceptions of Barriers to Care for Inner-City Latino Children with Asthma

Published in: Journal of Health Care for the Poor and Underserved, v. 10, no. 1, Feb. 1999, p. 27-43

Posted on RAND.org on December 31, 1998

by Marielena Lara, Felicia C. Allen-Ramey, Linda Lange

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This article describes physician perspectives on barriers to quality primary care experienced by inner-city children with asthma and presents policy recommendations to reduce these barriers. The authors interviewed 30 physicians who take care of children with asthma in an inner-city Latino neighborhood, conducted a qualitative analysis of interview themes, and used a consensus group method to recommend policy actions. Inner-city physicians described significant access, quality of care, and other barriers in providing state-of-the-art primary care for asthma. Physicians recommended that eliminating financial barriers to care, including lack of health insurance and/or comprehensive health coverage for necessary medications and equipment, is the most important required policy action. In addition, inner-city physicians recommended that medical care and public health programs provide bilingual education for children with asthma and their families and train primary care physicians about how to provide effective asthma care to children with asthma in the inner city.

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