Table 2.

Top Barriers to Care for Native Hawaiian Cancer Patients, Identified through the Key Informant Survey

	Frequently experienced	Sometimes Experienced
Access-to-Care Barriers
• High cost of care, co-pay, and/or medications	68 (80%)	14 (16%)
• Lack of insurance or under-insurance	46 (54%)	26 (31%)
• Lack of physicians, specialists, second opinions	26 (31%)	37 (43%)
• Distance from facility; time and cost of transportation	49 (58%)	27 (32%)
• Too busy with other obligations to seek care	31 (36%)	38 (45%)
Cancer-Care-Systems Barriers
• Not knowing what to ask	56 (66%)	26 (31%)
• Need to run around between providers, offices, facilities	50 (59%)	26 (31%)
• Lack of coordination within the cancer-care system	37 (44%)	35 (42%)
• Not knowing who is in charge	33 (39%)	26 (31%)
• Feelings of intimidation	51 (60%)	24 (28%)
• Insensitivity/poor communication on the part of providers	33 (39%)	43 (51%)
• Providers’ lack of knowledge of/referral to other resources	17 (20%)	27 (32%)
• Lost referrals, lost paperwork, mixed up x-rays, etc	14 (16%)	39 (46%)