The role of stigma in access to health care for the poor

Milbank Quarterly

Volumn 92, Issue 2, 2014, Pages 289-318

  Allen, Heidi ^a   Wright, Bill J ^b   Harding, Kristin ^b   Broffman, Lauren ^b  

^a Och Spine at New York Presbyterian Hospitals   (United States)

^b Providence Health and Services   (United States)

Author keywords

health care; health insurance; poverty; stigma; user's experiences

Indexed keywords

ARTICLE; DOCTOR PATIENT RELATION; FEAR; FEMALE; FOLLOW UP; HEALTH CARE ACCESS; HEALTH CARE SYSTEM; HUMAN; INFORMATION PROCESSING; LOWEST INCOME GROUP; MALE; MEDICAID; PATIENT CARE; PERCEPTION; PRIORITY JOURNAL; PUBLIC HEALTH; SELF CONCEPT; SOCIAL WELFARE; SOCIOECONOMICS; STIGMA; SUBSTANCE ABUSE; WELLBEING;

HEALTH CARE; HEALTH INSURANCE; POVERTY; STIGMA; USER'S EXPERIENCES;

ADULT; ATTITUDE TO HEALTH; DATA COLLECTION; DELIVERY OF HEALTH CARE; FEMALE; FOCUS GROUPS; HEALTH SERVICES ACCESSIBILITY; HUMANS; INTERVIEWS AS TOPIC; MALE; MEDICAID; OREGON; POVERTY; STEREOTYPING; UNITED STATES;

EID: 84901935112     PISSN: 0887378X     EISSN: 14680009     Source Type: Journal    
DOI: 10.1111/1468-0009.12059     Document Type: Article

References (35)

1. Allen H, Wright B, and, Baicker K,. New Medicaid enrollees in Oregon report health care successes and challenges. Health Aff. 2014; 33 (2): 292-299.
2. Allen H, Baicker K, Finkelstein A, Taubman S, Wright B,; and the Oregon Health Study Group. Introduction to the Oregon Health Study: a Medicaid expansion experiment. Health Aff. 2010; 29 (8): 1498-1506.
3. Centers for Medicare & Medicaid Services. Medicaid website. http://www.medicaid.gov/. Accessed March 18, 2014.
4. Finkelstein A, Taubman S, Wright B, et al. The Oregon Health Insurance Experiment: evidence from the first year. Q J Econ. 2012; 127 (3): 1057-1106.
5. Baicker K, Taubman S, Allen H, et al. The impact of Medicaid on clinical outcomes: evidence from the Oregon Health Insurance Experiment. N Engl J Med. 2013; 368 (18): 1713-1722.
6. Taubman S, Allen H, Wright B, Baicker K, Finkelstein A,. Medicaid increases emergency-department use: evidence from Oregon's health insurance experiment. Science. 2014; 343 (6168): 263-268.
7. Ricketts TC, Goldsmith LJ,. Access in health services research: the battle of the frameworks. Nurs Outlook. 2005; 53 (6): 274-280. doi: http://dx.doi.org/10.1016/j.outlook.2005.06.007.
8. Penchansky R, Thomas JW,. The concept of access: definition and relationship to consumer satisfaction. Med Care. 1981; 19 (2): 127-140.
9. Andersen RM,. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav. 1995; 36 (1): 1-10.
10. Eisenberg J, Power E,. Transforming insurance coverage into quality health care. JAMA. 2000; 284 (16): 2100-2107.
11. Chung PJ, Schuster MA,. Access and quality in child health services: voltage drops. Health Aff. 2004; 23 (5): 77-87.
12. Sommers BD, Tomasi MR, Swartz K, Epstein AM,. Reasons for the wide variation in Medicaid participation rates among states hold lessons for coverage expansion in 2014. Health Aff. 2012; 31 (5): 909-919.
13. Decker SL,. Two-thirds of primary care physicians accepted new Medicaid patients in 2011-12: a baseline to measure future acceptance rates. Health Aff. 2013; 32 (7): 1183-1187.
14. Long SK,. Physicians may need more than higher reimbursements to expand Medicaid participation: findings from Washington state. Health Aff. 2013; 32 (9): 1560-1567.
15. Burstin HR, Johnson WG, Lipsitz SR, Brennan TA,. Do the poor sue more? A case-control study of malpractice claims and socioeconomic status. Obstet Gynecol Surv. 1994; 49 (4): 246-248.
16. Reutter LI, Stewart MJ, Veenstra G, Love R, Raphael D, Makwarimba E,. "Who do they think we are, anyway?": perceptions of and responses to poverty stigma. Qual Health Res. 2009; 19 (3): 297-311.
17. Wagenfeld-Heintz E, Ross VC, Lee K,. Physicians' perceptions of patients in a county sponsored health plan. Soc Work Public Health. 2007; 23 (1): 45-59.
18. Kinsler J, Wong M, Sayles J, Davis C, Cunningham W,. The effect of perceived stigma from a health care provider on access to care among a low-income HIV-positive population. AIDS Patient Care STDS. 2007; 21 (8): 584-592.
19. Link B,. Understanding labeling effects in the area of mental disorders: an assessment of the effects of expectations of rejection. Am Sociol Rev. 1987; 52: 96-112.
20. Scambler G, Hopkins A,. Being epileptic: coming to terms with stigma. Sociol Health Illn. 1986; 8 (1): 26-43.
21. Hausmann LR, Hannon MJ, Kresevic DM, Hanusa BH, Kwoh CK, Ibrahim SA,. Impact of perceived discrimination in health care on patient-provider communication. Med Care. 2011; 49 (7): 626.
22. Hausmann LR, Jeong K, Bost JE, Ibrahim SA,. Perceived discrimination in health care and health status in a racially diverse sample. Med Care. 2008; 46 (9): 905.
23. Duffy L,. Suffering, shame, and silence: the stigma of HIV/AIDS. J Assoc Nurs AIDS Care. 2005; 16 (1): 13-20.
24. Thornicroft G, Rose D, Kassam A,. Discrimination in health care against people with mental illness. Int Rev Psychiatry. 2007; 19 (2): 113-122.
25. Earnshaw VA, Quinn DM,. The impact of stigma in healthcare on people living with chronic illnesses. J Health Psychol. 2012; 17 (2): 157-168.
26. Gale N, Heath G, Cameron E, Rashid S, Redwood S,. Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Med Res Methodology. 2013; 13: 117.
27. Angrist J, Krueger A,. Instrumental variables and the search for identification: from supply and demand to natural experiments. J Econ Perspect. 2001; 15 (4): 69-85.
28. Agnrist J, Jorn-Steffen P,. The credibility revolution in empirical economics: how better research design is taking the con out of econometrics. J Econ Perspect. 2010; 24 (2): 3-30.
29. Sommers B, Baicker K, Epstein A,. Mortality and access to care among adults after state Medicaid expansions. N Engl J Med. 2012; 367 (11): 1025-1034.
30. Doyle J Jr,. Health insurance, treatment and outcomes: using auto accidents as health shocks. Rev Econ Stat. 2005; 87 (2): 256-270.
31. Decker S,. In 2011 nearly one-third of physicians said they would not accept new Medicaid patients, but rising fees may help. Health Aff. 2012; 31 (8): 1673-1679.
32. Sommers BD, Bindman AB,. New physicians, the Affordable Care Act, and the changing practice of medicine. JAMA. 2012; 307 (16): 1697-1698.
33. Volk G, Jacobs A,. Implementing state health reform: lessons for policymakers. Report prepared for the Robert Wood Johnson Foundation State Coverage Initiatives. http://www.rwjf.org/content/dam/farm/reports/reports/2010/ rwjf57163. Published March 2010. Accessed March 18, 2014.
34. Gould E,. Employer-sponsored health insurance erosion accelerates in the recession. Int J Health Serv. 2012; 42 (3): 499-537.
35. USDA unveils new consumer information resources about SNAP for people in need of food assistance [news release]. Washington, DC: United States Department of Agriculture; May 19, 2010. http://www.usda.gov/wps/portal/usda/!ut/p/c5/04- SB8K8xLL-M9MSSzPy8xBz9CP0os-gAC9-wMJ8QY0MDpxBDA09nXw9-DFxcXQ-cAA- 1wkA5kFaGuQBXeASbmnu4uBgbe5hB5Axz-A0UDfzyM-N1W-IDs7zdFRUREAZXAypA!!/dl3/d3/ L2dJQS-EvUUt3QS9ZQnZ3LzZfUDhNVlZMVDMxMEJUMTBJQ01-IMURERDFDUDA!/?contentidonly= true&contentid=2010%2f05%2f0272.xml. Accessed February 21, 2014.