Barriers to Prostate Cancer Care: Affordable Care is Not Enough

Low-income, uninsured Latino men face a myriad of barriers when accessing health care to detect, diagnose, treat, and manage their prostate cancer. In this study, we utilized grounded theory techniques to analyze transcripts of semistructured interviews with 60 Latino men enrolled in a state-funded...

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Bibliographic Details
Published in:Qualitative health research 2013-03, Vol.23 (3), p.375-384
Main Authors: Oduro, Charlotte, Connor, Sarah E., Litwin, Mark S., Maliski, Sally L.
Format: Article
Language:English
Subjects:
Aged
Communication Barriers
Cost of Illness
Cultural Competency - psychology
Grounded theory
Health care
Health Services Accessibility - economics
Health technology assessment
Hispanic Americans
Hispanic Americans - psychology
Hospitals, University
Humans
Interview, Psychological
Latin American people
Los Angeles
Male
Medically Uninsured - ethnology
Medically Uninsured - psychology
Men
Mens health
Middle Aged
Prostate cancer
Prostatic cancer
Prostatic Neoplasms - economics
Prostatic Neoplasms - ethnology
Prostatic Neoplasms - psychology
Prostatic Neoplasms - therapy
Public Assistance
Public assistance programs
Quality of care
Service provision
Socioeconomic Factors
Transients and Migrants - psychology
Uninsured people
Vulnerable Populations - ethnology
Vulnerable Populations - psychology
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Summary:Low-income, uninsured Latino men face a myriad of barriers when accessing health care to detect, diagnose, treat, and manage their prostate cancer. In this study, we utilized grounded theory techniques to analyze transcripts of semistructured interviews with 60 Latino men enrolled in a state-funded public assistance program. We developed a descriptive framework to understand barriers to health care access among these men. Findings demonstrate that societal, systemic, and individual barriers function independently and together to bar access to prostate cancer care for Latino men. Participant perceptions illustrate the individual, interpersonal, and macro-level structures that impede access, stressing the need for expanded medical coverage coupled with measures to improve quality care. The health care system needs a multifaceted approach, including alleviation of financial burdens for underserved prostate cancer patients, empowerment of patients with navigational skills, access to culturally competent providers, and consistent monitoring of access to quality health care.
ISSN:1049-7323
1552-7557
DOI:10.1177/1049732312467852