A Qualitative Analysis of Access to Healthcare Among African American Adults in South Carolina

J Prim Care Community Health. 2023 Jan-Dec:14:21501319231153593. doi: 10.1177/21501319231153593.

Abstract

Access to healthcare is a Social Determinant of Health that is associated with public health outcomes and barriers to access disproportionately affect African American adults. This study used a health and financial literacy approach to qualitatively assess how African American adults access healthcare and potential barriers faced (n = 20). Results indicated a wide range of experiences generally split between positive and negative experiences in access to healthcare. Specific themes that emerged included scheduling issues and appointment availability, expense of care, lack of transparency in insurance coverage, the need for more primary care clinics and enhanced community outreach and education on how to access healthcare. This research identifies a need for increased education surrounding health insurance coverage and an identified need for more local physicians or ease of scheduling. All participants in this study stated they were covered by health insurance of some form. Future research should examine these issues in the context of socioeconomic and insurance status.

Keywords: access to healthcare; health inequity; health insurance status; minority health; social determinants of health.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Black or African American*
  • Health Facilities
  • Health Services Accessibility*
  • Humans
  • Insurance, Health
  • Qualitative Research
  • Social Determinants of Health
  • South Carolina