Lower barriers to primary care after the implementation of the Affordable Care Act in the United States of America
Objective. To examine short-term changes in perceived barriers to access to primary care before and after implementation of the Affordable Care Act (ACA) among adults in the United States of America. Methods. The ACA was approved in 2010. We used the National Health Interview Survey (NHIS) for the y...
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ftdoajarticles:oai:doaj.org/article:9e9205b31c4d43b2ac3d4649e9323f3f 2023-05-15T15:11:43+02:00 Lower barriers to primary care after the implementation of the Affordable Care Act in the United States of America Arturo Vargas Bustamante Jie Chen 2018-08-01T00:00:00Z https://doi.org/10.26633/RPSP.2018.106 https://doaj.org/article/9e9205b31c4d43b2ac3d4649e9323f3f EN ES PT eng spa por Pan American Health Organization http://iris.paho.org/xmlui/handle/123456789/49160 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2018.106 https://doaj.org/article/9e9205b31c4d43b2ac3d4649e9323f3f Revista Panamericana de Salud Pública, Vol 42, Pp 1-8 (2018) Primary health care health services accessibility health care reform United States Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2018 ftdoajarticles https://doi.org/10.26633/RPSP.2018.106 2022-12-31T02:15:21Z Objective. To examine short-term changes in perceived barriers to access to primary care before and after implementation of the Affordable Care Act (ACA) among adults in the United States of America. Methods. The ACA was approved in 2010. We used the National Health Interview Survey (NHIS) for the years 2011-2014 to compare the main reported problems in accessing primary care among adult respondents in 2011-2013 (before implementation of mandatory ACA health insurance for individuals) and in 2014 (after that implementation). A multivariate logistic stepwise regression analysis was used to identify trends with primary care barriers. Results. We found that from 2010 through 2014, individuals were progressively less likely to report challenges to accessing care, such as having trouble finding a provider, getting accepted as new patients, and health care providers not accepting their health insurance. In addition, adults were less likely to report inconveniences linked to waiting times for an appointment and with provider's office hours. Conclusions. Informing policymakers, providers, and system administrators about the short-term changes in perceived barriers to care offers a baseline for evaluating policies and programs linked to implementing the ACA, as well as assessing how prepared primary care networks were for the influx of newly insured patients. Nevertheless, the abolition of the ACA health insurance mandate through legislation approved in December 2017 has put into question whether patients’ perceptions of improved access to care will be sustained in the future. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 42 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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English Spanish Portuguese |
topic |
Primary health care health services accessibility health care reform United States Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Primary health care health services accessibility health care reform United States Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Arturo Vargas Bustamante Jie Chen Lower barriers to primary care after the implementation of the Affordable Care Act in the United States of America |
topic_facet |
Primary health care health services accessibility health care reform United States Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objective. To examine short-term changes in perceived barriers to access to primary care before and after implementation of the Affordable Care Act (ACA) among adults in the United States of America. Methods. The ACA was approved in 2010. We used the National Health Interview Survey (NHIS) for the years 2011-2014 to compare the main reported problems in accessing primary care among adult respondents in 2011-2013 (before implementation of mandatory ACA health insurance for individuals) and in 2014 (after that implementation). A multivariate logistic stepwise regression analysis was used to identify trends with primary care barriers. Results. We found that from 2010 through 2014, individuals were progressively less likely to report challenges to accessing care, such as having trouble finding a provider, getting accepted as new patients, and health care providers not accepting their health insurance. In addition, adults were less likely to report inconveniences linked to waiting times for an appointment and with provider's office hours. Conclusions. Informing policymakers, providers, and system administrators about the short-term changes in perceived barriers to care offers a baseline for evaluating policies and programs linked to implementing the ACA, as well as assessing how prepared primary care networks were for the influx of newly insured patients. Nevertheless, the abolition of the ACA health insurance mandate through legislation approved in December 2017 has put into question whether patients’ perceptions of improved access to care will be sustained in the future. |
format |
Article in Journal/Newspaper |
author |
Arturo Vargas Bustamante Jie Chen |
author_facet |
Arturo Vargas Bustamante Jie Chen |
author_sort |
Arturo Vargas Bustamante |
title |
Lower barriers to primary care after the implementation of the Affordable Care Act in the United States of America |
title_short |
Lower barriers to primary care after the implementation of the Affordable Care Act in the United States of America |
title_full |
Lower barriers to primary care after the implementation of the Affordable Care Act in the United States of America |
title_fullStr |
Lower barriers to primary care after the implementation of the Affordable Care Act in the United States of America |
title_full_unstemmed |
Lower barriers to primary care after the implementation of the Affordable Care Act in the United States of America |
title_sort |
lower barriers to primary care after the implementation of the affordable care act in the united states of america |
publisher |
Pan American Health Organization |
publishDate |
2018 |
url |
https://doi.org/10.26633/RPSP.2018.106 https://doaj.org/article/9e9205b31c4d43b2ac3d4649e9323f3f |
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Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 42, Pp 1-8 (2018) |
op_relation |
http://iris.paho.org/xmlui/handle/123456789/49160 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2018.106 https://doaj.org/article/9e9205b31c4d43b2ac3d4649e9323f3f |
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https://doi.org/10.26633/RPSP.2018.106 |
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Revista Panamericana de Salud Pública |
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42 |
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