Abstract: Barriers to Primary Care Access for Socioeconomically Disadvantaged Women: A System Dynamics Approach (Society for Prevention Research 24th Annual Meeting)

Schedule:

Thursday, June 2, 2016

Pacific N/O (Hyatt Regency San Francisco)

* noted as presenting author

Nasim Sabounchi, PhD, Assistant Professor, State University of New York at Binghamton, Binghamton, NY

A. Serdar Atav, PhD, Associate Professor, State University of New York at Binghamton, Binghamton, NY

Fatima Irshaidat, BA, Doctoral Student, State University of New York at Binghamton, Binghamton, NY

The Affordable Care Act (ACA) attempts to improve access to health care by expanding insurance coverage through initiatives including Medicaid eligibility expansion. However, several states opted out of the Medicaid expansion program with the result that millions of disadvantaged low-income Americans are excluded from any insurance coverage. In states like New York that have participated in the expansion, socio-economically disadvantaged women now have access to screenings and routine visits to primary care providers.

Using a system dynamics (SD) approach, the goal of this presentation is to explore the complex problem of barriers to female-specific screenings and routine visits to primary care providers among socio-economically disadvantaged women in Upstate New York. We have used key informant interviews with various local stakeholders and experts in the field to develop a system dynamics model. The simulation model is used to evaluate the efficacy of health policies at the state/federal level in improving screenings and routine visits to primary care providers among socio-economically disadvantaged women, particularly in states that do not expand Medicaid.

Abstract: Barriers to Primary Care Access for Socioeconomically Disadvantaged Women: A System Dynamics Approach (Society for Prevention Research 24th Annual Meeting)

348 Barriers to Primary Care Access for Socioeconomically Disadvantaged Women: A System Dynamics Approach