Date of Conferral

2023

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Management

Advisor

Edessa Jobli

Abstract

Insurance based discrimination is a bias that has the potential to harm patients by limiting their access to care and widen health disparities between patients with private and public insurance. The purpose of this study was to examine whether there is a relationship between type of health insurance (private and public) and access to care factors (acceptability and availability) among African American males ages 25–64 with chronic conditions. The Andersen healthcare utilization model framework supported this research in focusing on the determinants that influences a patient’s ability to access to health care. The research questions examined whether a relationship existed between type of health insurance (public and private) and acceptability (told by a doctor that they do not accept your coverage) and availability (trouble getting an appointment at a doctor’s office or clinic, etc.) among African American males ages 25–64 with chronic conditions. The research questions were answered with secondary data collected from the Health Reform Monitoring Survey 3rd Quarter 2018. This quantitative retrospective study involved a descriptive comparative research design using chi-square. Findings showed that there was no statistically significant relationship between type of health insurance and acceptability (p > .05), nor was there a statistically significant relationship between type of health insurance and availability (p > .05), among African American males ages 25–64 with chronic conditions. The implication for positive social change of this research includes information related to patient prioritization, equity among public insurance users, and the examination of implicit and explicit biases toward African American males and publicly insured patients.

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