The Patient Perspective: Receiving Care in the Post-ACA Era

Authors

Melanie F. Molina, Harvard Medical SchoolFollow
Medell Briggs-Malonson, UCLA David Geffen School of MedicineFollow

Keywords

Medically underserved area; health care quality; access; and evaluation; emergency service; hospital; qualitative research; low-income population

Disciplines

Community Health and Preventive Medicine | Health Services Research | Public Health

Abstract

The purpose of this study was to explore patients’ experiences and perceptions regarding the accessibility of healthcare services within a low-income, culturally diverse community in the post-Affordable Care Act era. We conducted a cross-sectional qualitative analysis of 32 interviews with patients that presented to a community emergency department in South L.A with one or more adult ambulatory care sensitive conditions. Both insured and uninsured patients shared many of the same experiences and perceptions when accessing healthcare services. The most prominent commonalities were related to healthcare cost, difficulty qualifying for insurance, lack of awareness of existing services, and healthcare service availability. Increased insurance coverage had a positive impact on patients’ perceived ability to access outpatient primary and specialty healthcare services. However, patients still cited significant barriers to healthcare access, including lack of awareness of covered services and limited service availability.

Recommended Citation

Molina, Melanie F. and Briggs-Malonson, Medell (2017) "The Patient Perspective: Receiving Care in the Post-ACA Era," Journal of Health Disparities Research and Practice: Vol. 10: Iss. 1, Article 14.
Available at: https://digitalscholarship.unlv.edu/jhdrp/vol10/iss1/14