Communication Barriers Both communication and understanding were treated the same by all providers Highest barriers for: –Detox –I/P Behavioral –Rehabilitation Lowest barriers for: –PC
Good: all medical facilities Bad: most non-medical services
Insurance Coverage Coverage is a low barrier for all basic traditional health services Lowest for Detox c/c to methadone I/P Behavioral easier to cover than MH/SA
Transporation vs. Appointment Transportation is by far perceived highest by all providers C/c: appointments easy to get, but transportation difficult Coincide, except: –Hospitals/Methadone –Rehabilitation
Major Barriers by Provider Follow Similar Pattern within each barrier PC is lowest overall Dentist is highest, followed by HC & HVMA
Notable Differences: 1.Coverage PC & Hospital are lower than others Dentist, MH, & HC are higher 2.Understanding PC is lower than all others 3.Building Access Dentists are distinctly higher than others
Provider-Perceived Access Barriers Hypothesis 3: There are differences between providers and consumers in their perceptions of access barriers
Providers higher than consumers Similar pattern!
Overall Barriers Coverage Transportation Talking About Needs Appointments Understanding Equipment Restrooms Building ConsumerProvider
Top Barriers: Freestanding Detox Consumer Self-Report 1.Coverage 2.Transportation 3.Appointments 3. Talking Provider-Perceived 1.Talking/Understanding 2.Transportation 3.Appointments Logistics are bigger barriers for consumers than is Talking about their needs.
Top Barriers: Inpatient Psychiatric Consumer Self-Report 1.Transportation 2.Talking 3.Appointments 3.Coverage 4.Understanding Provider-Perceived 1.Transportation 2.Talking/Understanding 3. Appointments 3. Coverage Very similar; consumers see Talking about needs as more of a barrier than Understanding provider.
Top Barriers Outpatient Medical Consumer Self-Report 1.Talking 1. Transportation 2. Appointments 2. Understanding Provider-Perceived 1.Transportation! 2.Coverage 3.Talking Consumers see Talking about needs as biggest barrier verses Transportation by providers; hospitals are similar.
Summary of Findings: Preliminary Results Barriers higher for providers vs. consumers Similar pattern overall Foremost barrier –Provider = Transportation –Consumer not as clear Differences in perceptions –Importance of Appointments –Talking vs. Understanding