文章基本信息

标题：Access and Barriers to Healthcare Vary among Three Neighboring Communities in Northern Honduras
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作者：Catherine A. Pearson ; Michael P. Stevens ; Kakotan Sanogo 等
期刊名称：International Journal of Family Medicine
印刷版ISSN：2090-2042
电子版ISSN：2090-2050
出版年度：2012
卷号：2012
DOI：10.1155/2012/298472
出版社：Hindawi Publishing Corporation
摘要：Objective. The aim of this study is to describe and compare access and barriers to health services in three proximal yet topographically distinct communities in northern Honduras served by the nonprofit organization the Honduras Outreach Medical Brigada Relief Effort (HOMBRE). Methods. Study personnel employed a 25-item questionnaire in Spanish at the point of care during HOMBRE clinics in Coyoles, Lomitas, and La Hicaca (𝑁=220). We describe and compare the responses between sites, using Chi-squared and Fisher Exact tests. Results. Respondents in Lomitas demonstrated the greatest limitations in access and greatest barriers to care of all sites. Major limitations in access included “never” being able to obtain a blood test, obtain radiology services, and see a specialist. Major barriers were cost, distance, facility overcrowding, transportation, being too ill to go, inability to take time off work, and lack of alternate childcare. Conclusions. Despite being under the same local health authority, geographically remote Honduran communities experience greater burdens in healthcare access and barriers than neighboring communities of the same region.