Message-Id: <9802268885.AA888538454@gvsu.edu>
Date: Fri, 13 Feb 98 16:02:07 -0500
From: "Gayla Jewell"<jewellg@gvsu.edu>
To: <MedSoc@csf.colorado.edu>
Subject: Re[2]: Request for comments 
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     Feb 26
     
     Thanks.


______________________________ Reply Separator _________________________________
Subject: Re: Request for comments 
Author:  <MedSoc@csf.colorado.edu > at Internet
Date:    2/26/98 9:24 AM


          Hi!
     
          re: barriers to health care services
     
          In addition to "perceived barriers" to health care 
          services, don't miss taking a look at ACTUAL barriers, 
          which can be considerable for a person with (a) no health 
          insurance and (b) who has a stigmatized occupation.  There 
          is also a locational effect.  For example, in Alabama there 
          are basically two cities where the uninsured can get into
          a public emergency room without too many hassles (other 
          than a very long wait).  People in other locations have to 
          drive long distances or put themselves at the mercy of the 
          local providers.  (Of course, if the triage nurse does not 
          deem your case an "emergency" you can't even get into the 
          public hospitals without a hefty down payment and/or proof 
          of insurance.)
     
          In addition, there is a great deal of variation in outreach 
          to sex workers by public health departments, so be sure to 
          build this into your design.
     
          For a run down of the journal literature on access to care, 
          see my recent book: American Health Care in Transition: A 
          Guide to the Literature.  Published by Greenwood Press.
     
     
          Barbara Haley
          (202) 755-1805 ext. 126