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Journal of General Internal Medicine

, Volume 33, Issue 4, pp 406–408 | Cite as

The Influence of Financial Strain on Health Decision-Making

  • Oanh Kieu Nguyen
  • Robin T. Higashi
  • Anil N. Makam
  • Juan C. Mijares
  • Simon Craddock Lee
Concise Research Reports

INTRODUCTION

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.

METHODS

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 WORDS

underserved populations disparities socioeconomic factors qualitative research 

Notes

Acknowledgements

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.

References

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Copyright information

© Society of General Internal Medicine 2018

Authors and Affiliations

  • Oanh Kieu Nguyen
    • 1
    • 2
    • 3
  • Robin T. Higashi
    • 2
  • Anil N. Makam
    • 1
    • 2
  • Juan C. Mijares
    • 2
  • Simon Craddock Lee
    • 2
  1. 1.Department of Internal MedicineUT Southwestern Medical CenterDallasUSA
  2. 2.Department of Clinical SciencesUT Southwestern Medical CenterDallasUSA
  3. 3.DallasUSA

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