Table 1.

Barriers Framework

Level	Category	20 Individual barriers
Intrapersonal	1. Finance	1a. Health insurance issues
		1b. Financial problems
		1c. Housing
	2. Transportation	2a. Location to healthcare facility
		2b. Transportation
		2c. Out of town or country
	3. Beliefs	3a. Fear of tests, treatment, or dying
		3b. Attitudes toward provider
		3c. Perceptions/beliefs about tests or treatment
	4. Comorbidities	4a. Medical and mental health comorbidity
		4b. Patient disability
Interpersonal	5. Family and employment issues	5a. Employment issues
		5b. Childcare issues
		5c. Lack of social or practical support
		5d. Adult care
	6. Communication	6a. Literacy
		6b. Communication concerns with medical personnel
		6c. Language issues or interpreter needed
Institutional	7. Logistical health system	7a. System problems with scheduling care
Unknown	8. Unknown	8a. Other