The Influence of Financial Strain on Health Decision-Making
Despite increasing attention on addressing unmet social needs to improve chronic disease management,1,2 patient perspectives on which social needs are most important and how these needs affect health are lacking. This knowledge is essential to optimizing medical care for the most vulnerable patients. Thus we sought to explore which unmet social needs are most influential and how these needs affect individuals’ decisions regarding medical treatment and self-management of health needs among community-dwelling low-income adults.
We conducted 12 focus groups in English and Spanish among 55 adults seeking assistance at Crossroads Community Services in downtown Dallas, Texas, from July to November 2016. Crossroads is the largest non-profit food redistribution organization affiliated with the North Texas Food Bank. Participants were purposively recruited from the Crossroads waiting area. Focus groups were conducted in private using a semi-structured guide and were...
KEY WORDSunderserved populations disparities socioeconomic factors qualitative research
This study was funded by the UT Southwestern Office of the President through the Program for Development and Evaluation of Model Community Health Initiatives in Dallas. Dr. Nguyen received funding support from the UT Southwestern KL2 Scholars Program (KL2 TR001103). Drs. Nguyen and Lee received support from the Agency for Healthcare Research and Quality-funded UT Southwestern Center for Patient-Centered Outcomes Research (R24 HS022418-01). The study sponsors had no role in the design or conduct of the study; collection, management, analysis, or interpretation of the data; preparation, review, or approval of the manuscript; or the decision to submit the manuscript for publication.
The authors thank the University of Dallas Community Assistance Research (CARe) partnership and Crossroads Community Services for facilitating the successful completion of this project. These findings were presented at the AcademyHealth Annual Research Meeting in June 2017 in New Orleans, Louisiana.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they do not have a conflict of interest.
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