ArticleHealth services research2012
Nonfinancial barriers and access to care for U.S. adults.
Article in Health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 124 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
124 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A Meta-Synthesis of the Experience of Chronic Temporomandibular Disorder Patients Within Health Care ServicesJournal of oral & facial pain and headache · 2023Pooled it
- Effectiveness of Acute Care Remote Triage Systems: a Systematic Review.Journal of general internal medicine · 2020Pooled it
- Perceived Barriers to Care for Urinary Tract Infections in Emerging Adulthood.Journal of general internal medicine · 2026Trial
- Effectiveness of a Web-Based Direct-to-User Transfer Training Program: A Randomized Controlled Trial.Archives of physical medicine and rehabilitation · 2022Trial
- The Process Is Not the Point: Moral Uncertainty and Substantive Justice in Health Care Priority Setting.Bioethics · 2026Article
- Understanding Missed Appointments: Identifying Key Factors Impeding Care in a Predominately Uninsured Hispanic Free Clinic Population.Journal of immigrant and minority health · 2026Article
- Access to Essential Services: A Critical Factor for Predicting Recovery and Quantifying Resilience.Risk analysis : an official publication of the Society for Risk Analysis · 2026Article
- "Is It Free?": Out-of-Pocket Costs for Annual Checkups Among the Insured.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- Lessons learned from a sustained mobile prenatal care delivery program: results from a mixed-methods evaluation to understand appointment attendance and patient satisfaction.BMC pregnancy and childbirth · 2026Article
- Barriers to urologic care following spinal cord injury.The Canadian journal of urology · 2026Observational
- Sources of Variation in Cardiovascular Care Cascades.JAMA health forum · 2026Article
- "It's Finding the Time to Prioritize Ourselves": Using the Theory of Planned Behavior to Explore Young Black Women's Attitudes, Norms, and Beliefs Toward Mental Health Care.Journal of racial and ethnic health disparities · 2026Article
- The impact of race and sex on recent mortality trends after coronary artery bypass grafting.JTCVS open · 2026Article
- Barriers to preventive care among US adults of multiple races eligible for type 2 diabetes screening: an observational study.BMC public health · 2026Observational
- Race, Ethnicity, and Hemophilia: A Scoping Review.Journal of racial and ethnic health disparities · 2026Review
- Patient administrative burden: a scoping review.Health affairs scholar · 2025Review
- Investigating the Relationship Between Social Support and Health Care Barriers Among Sexually and Gender Diverse Young Adults in the United States.LGBT health · 2025Article
- Leveraging the Transitional Care Model Intervention to Identify and Mitigate Adverse Social Determinants of Health.Journal of the American Medical Directors Association · 2025Article
- Disparities in Health Insurance and Delayed Care Among Hispanic Immigrants in the United States.Cureus · 2025Article
- Improving children's use of care in Oregon: The role of a novel dental accountable care organization.Journal of the American Dental Association (1939) · 2025Observational
64 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify prevalences and predictors of nonfinancial barriers that lead to unmet need or delayed care among U.S. adults. DATA SOURCE: 2007 Health Tracking Household Survey. STUDY
designReasons for unmet need or delayed care in the previous 12 months were assigned to one of five dimensions in the Penchansky and Thomas model of access to care. Prevalences of barriers in each nonfinancial dimension were estimated for all adults and for adults with affordability barriers. Multivariable logistic regression models were used to estimate associations between individual, household, and insurance characteristics and barriers in each access dimension. PRINCIPAL
findingsEighteen percent of U.S. adults experienced affordability barriers and 21 percent experienced nonfinancial barriers that led to unmet need or delayed care. Two-thirds of adults with affordability barriers also reported nonfinancial barriers. Young adults, women, individuals with lower incomes, parents, and persons with at least one chronic illness had higher adjusted prevalences of nonfinancial barriers.
conclusionsNonfinancial barriers are common reasons for unmet need or delayed care among U.S. adults and frequently coincide with affordability barriers. Failure to address nonfinancial barriers may limit the impact of policies that seek to expand access by improving the affordability of health care.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.