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. 2019 Feb 10:6:2333794X19828356.
doi: 10.1177/2333794X19828356. eCollection 2019.

Racial and Ethnic Disparities in Provider-Related Barriers to Health Care for Children in California After the ACA

Cinthya K Alberto  1 , Jessie Kemmick Pintor  1 , Ryan M McKenna  1 , Dylan H Roby  2 , Alexander N Ortega  1
Affiliations

Racial and Ethnic Disparities in Provider-Related Barriers to Health Care for Children in California After the ACA

Cinthya K Alberto et al. Glob Pediatr Health. .

Abstract

The aim of this study was to examine disparities in provider-related barriers to health care by race and ethnicity of children in California after the implementation of the Affordable Care Act (ACA). California Health Interview Survey child (0-11 years) survey data from 2014 to 2016 were used to conduct multivariable logistic regressions to estimate the odds of reporting any provider-related barrier, trouble finding a doctor, child's health insurance not accepted by provider, and child not being accepted as a new patient. Compared with parents of non-Latino white children, parents of non-Latino black, Latino, Asian, and other/multiracial children were not more likely to report experiencing any of the 4 provider-related barrier measures. The associations between children's race and ethnicity and parents' reports of provider-related barriers were nonsignificant. Findings demonstrate that there are no significant racial/ethnic differences in provider-related barriers to health care for children in California in the post-ACA era.

Keywords: Affordable Care Act; child health services; ethnicity; health services accessibility; race.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Dr Roby served as a paid consultant on Medicaid payment issues for plaintiffs in one of these cases. His co-authorship on this article was unpaid and was not related to his previous work on that case. The remaining authors have no conflicts of interest to disclose.

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