Defining and targeting health care access barriers

J. Emilio Carrillo, Victor A. Carrillo, Hector R. Perez, Debbie Salas-Lopez, Ana Natale-Pereira, Alex T. Byron

Research output: Contribution to journalArticlepeer-review

150 Scopus citations


The impact of social and economic determinants of health status and the existence of racial and ethnic health care access disparities have been well-documented. This paper describes a model, the Health Care Access Barriers Model (HCAB), which provides a taxonomy and practical framework for the classification, analysis and reporting of those modifiable health care access barriers that are associated with health care disparities. The model describes three categories of modifiable health care access barriers: financial, structural, and cognitive. The three types of barriers are reciprocally reinforcing and affect health care access individually or in concert. These barriers are associated with screening, late presentation to care, and lack of treatment, which in turn result in poor health outcomes and health disparities. By targeting those barriers that are measurable and modifiable the model facilitates root-cause analysis and intervention design.

Original languageEnglish (US)
Pages (from-to)562-575
Number of pages14
JournalJournal of health care for the poor and underserved
Issue number2
StatePublished - May 2011
Externally publishedYes


  • Access barriers model
  • Cause of disparities
  • Cultural competence
  • Health care access barriers
  • Health disparities
  • Racial/ethnic disparities

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


Dive into the research topics of 'Defining and targeting health care access barriers'. Together they form a unique fingerprint.

Cite this