Barriers to health care access for Latino children: a review.

摘要: Background and Objectives: More than 9 million Latino children currently live in the United States. Latinos will soon be largest minority group country, but little is known about access barriers to health care faced by children. We reviewed literature define specific for children, identify methodologic problems, highlight clinical research implications of identified barriers. Methods: did a MEDLINE search, using combinations key words Hispanic, access. Study exclusion criteria included “not an original article,” “enrolled only adult subjects,” “no separate data analysis children,” “dental focus.” Results: The search yielded 497 citations, which 27 met inclusion criteria. Of 32 potential identified, 21 had good supportive evidence. Lack insurance was consistent barrier; recent revealed that 26% are uninsured, compared with 10% white 14% African-American also at greater risk episodic coverage, low rates private insurance, loss employee-based coverage. Parent beliefs etiology treatment their child’s illness, use home remedies, choice sources advice, folk medicine practices may influence how obtained. Few available on differences among major subpopulations, no studies focused primarily as perceived parents. Evidence equivocal or lacking following children: immigration status, duration parent residency States, acculturation. Several were originate behaviors providers, including reduced screening, missed vaccination opportunities, decreased likelihood receiving prescriptions, poor communication. Conclusions: lack regular source many other can have substantial effect care. In addition, both providers parents affect Too what perceive barriers, roles language culture, causes obstacles resulting from actions providers.