|
Financial
|
• Lacking or limited health insurance |
| • Unable to afford needed medications |
| • Forgoing recommended tests or treatments |
|
|
Structural
|
• Limited transportation |
| • Street safety |
| • Lack of child care |
| • Telephone access to providers |
| • Structural characteristics of care including continuity of care, use of low performance hospital, no medical home, multiple locations for tests and specialists, operating hours of health care facility, and excessive wait times |
|
|
Cognitive
|
• Knowledge barriers |
| • Awareness of prevention facts |
| • Awareness of health resources |
| • Understanding of diagnosis and treatment |
| • Health literacy |
| • Availability of interpreter services |
| • Language and/or racial/ethnic concordance |
| • Cross-cultural communication skills |
|
|
Psychosocial
|
• Limited feelings of control over health and body |
| • Discomfort- and shame-related barriers |
| • Lack of social support |
