2023-09-28 14:46:10 +00:00
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abstract: 'This article describes the use of action research as an information base
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for policy formulation by a collaborative partnership in Spokane,
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Washington. Health and social service providers recognized access to
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care by uninsured persons as a major community issue. Little was known
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from the consumers perspective about factors limiting access. No
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benchmarks existed against which to measure progress. Investigators
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collected mailed surveys from 475 residents of six Spokane neighborhoods
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and 97 persons participated in 12 focus group sessions. Income,
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education, and ethnicity were primary factors affecting perceptions of
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degree to which medical, dental, and mental health needs were being met.
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Many residents were unable to obtain needed health care; low-cost dental
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and mental health services were named as their highest priorities.
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Quality of care, relationships with providers, immediacy of access, and
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cost were important concerns. Major barriers were cost, length of time
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before one could get an appointment, lack of comfort with providers, and
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having to miss work for appointments. Consumer input is critical in
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understanding local issues in health care. Action research that combines
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qualitative and quantitative data enhanced practice/policy decisions
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through assuring ownership of the research and immediate use of findings
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by involved agencies.'
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affiliation: 'Higgs, ZR (Corresponding Author), Washington State Univ, Coll Nursing,
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Intercollegiate Ctr Nursing Educ, 2917 W Fort George Wright Dr, Spokane, WA 99224
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USA.
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Washington State Univ, Coll Nursing, Intercollegiate Ctr Nursing Educ, Spokane,
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WA 99224 USA.'
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author: Higgs, ZR and Bayne, T and Murphy, D
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author-email: higgsz@wsu.edu
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author_list:
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- family: Higgs
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given: ZR
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- family: Bayne
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given: T
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- family: Murphy
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given: D
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da: '2023-09-28'
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doi: 10.1046/j.1525-1446.2001.00003.x
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eissn: 1525-1446
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files: []
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issn: 0737-1209
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journal: PUBLIC HEALTH NURSING
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keywords: 'health care access; consumer perspectives; health services
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accessibility; consumer attitudes'
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language: English
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month: JAN-FEB
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number: '1'
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number-of-cited-references: '27'
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pages: 3-12
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papis_id: dc88d1493a3d372bcc4407153af2ea72
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ref: Higgs2001healthcare
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times-cited: '20'
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title: 'Health care access: A consumer perspective'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000166526600002
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usage-count-last-180-days: '1'
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usage-count-since-2013: '6'
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volume: '18'
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web-of-science-categories: Public, Environmental \& Occupational Health; Nursing
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year: '2001'
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