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Poverty proofing healthcare: A qualitative study of barriers to accessing healthcare for low-income families with children in northern England

Lookup NU author(s): Dr Louise HayesORCiD, Dr Laura Mazzoli Smith, Dr Josephine Wildman, Professor Judith RankinORCiD, Professor Liz ToddORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

Copyright: © 2024 Bidmead et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Poverty impacts negatively on children's health and future life chances. Access to the UK's National Health Service (NHS) is based on clinical need rather than the ability to pay but horizontal inequities in access exist. Children North East, a charity supporting children experiencing poverty, are working with partners to reduce the impacts of poverty on NHS access. This collaborative study aimed to understand barriers to healthcare access faced by families living on low incomes to validate and support further development of a Poverty Proofing© healthcare tool. Twenty-four parents and eight Voluntary Community Social Enterprise sector staff participated in qualitative interviews or focus groups. Data were analysed thematically, and three main themes were identified as impacting access to healthcare: hidden costs, securing appointments and developing relationships with healthcare providers. We conclude that low-income families experience both financial and other barriers to accessing NHS healthcare and that these barriers are exacerbated for low-income families living in remote/rural areas.


Publication metadata

Author(s): Bidmead E, Hayes L, Mazzoli-Smith L, Wildman J, Rankin J, Leggott E, Todd L, Bramhall L

Publication type: Article

Publication status: Published

Journal: PLoS ONE

Year: 2024

Volume: 19

Issue: 4

Online publication date: 26/04/2024

Acceptance date: 18/03/2024

Date deposited: 07/05/2024

ISSN (electronic): 1932-6203

Publisher: Public Library of Science

URL: https://doi.org/10.1371/journal.pone.0292983

DOI: 10.1371/journal.pone.0292983

Data Access Statement: The data underlying this study are available in the data repository of Newcastle University and are accessible via the following DOI: https://doi.org/10.25405/data.ncl.25290292

PubMed id: 38669266


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Funding

Funder referenceFunder name
National Institute for Health and Care Research (NIHR) Applied Research Collaboration (ARC) North East and North Cumbria
NIHR200173

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