Systemic Barriers and Interventions in Healthcare for Underserved Communities: An Exploration of Health Disparities

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Romana Pervez
Noreen Anjum

Abstract

Background: In a society striving for equity, the persistence of healthcare disparities in underserved communities stands as a stark reminder of the systemic barriers that prevent equitable access to healthcare. This study explores these barriers and investigates the effects of economic, social, and infrastructural inequalities on healthcare availability and quality in urban environments.


Objective: The objective of this study was to elucidate the systemic barriers to health and wellness in marginalized communities and to propose targeted interventions that could potentially bridge these gaps.


Methods: Employing a mixed-methods approach, this study combined quantitative data from 450 survey respondents with qualitative insights from 30 in-depth interviews in three economically diverse urban areas. The study addressed previous research limitations by incorporating a broader range of socioeconomic indicators and enhancing the demographic representativeness of participants. Statistical analysis and thematic coding were used to interpret the data, ensuring a comprehensive understanding of both the numerical trends and the human experiences behind these disparities.


Results: The results revealed a significant correlation between socioeconomic status and healthcare access, with individuals in the lowest income quartile reporting 35% fewer healthcare visits than those in the highest quartile. Furthermore, 60% of respondents in the lowest income bracket lacked adequate health insurance compared to 90% coverage in the highest bracket. Qualitative data highlighted prevalent issues such as insurance inadequacies, transportation difficulties, and perceived discrimination in healthcare settings.


Conclusion: This study underscores the critical need for multi-faceted policy interventions and community-driven programs to address the complex interplay of economic, social, and infrastructural barriers that contribute to healthcare disparities. Effective solutions require collaborative efforts that are sensitive to the specific needs and circumstances of underserved populations.

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Author Biographies

Romana Pervez, Women Institute Of Learning And Rehabilitation Sciences, Abbottabad

Assistant Professor, Speech and Language Pathologist, Women Institute Of Learning And Rehabilitation Sciences, Abbottabad

Noreen Anjum, Govt. Special Education Centre Kotlisatiyan, Rawalpindi

Speech Therapist, Govt. Special Education Centre Kotlisatiyan, Rawalpindi