Beyond Borders: Exploring Healthcare Accessibility among Underserved Costa Rican Citizens

Adam Khan, Makenna Hittner, Steven Cheney, Keri Mitchell, Emily Crowell, Madison Bolin, Nathan Mear, Addison Nakashima, Elizabeth Valle, Josie Martin, Chelsea Arnhart, Jonathon Lowe

Research output: Contribution to conferencePosterpeer-review

Abstract

Background: Global health research in Cartago Province, Costa Rica, is essential to address health disparities faced by its underserved, rural populations. By conducting targeted research, specific health challenges and barriers unique to this region can be identified, enabling the development of tailored interventions and policies to improve healthcare delivery and accessibility. This study aimed to generate insights into the healthcare landscape of rural areas in Cartago Province with the goal of improving the health and well-being of these communities.

Methods: We distributed a healthcare survey at free pop-up health clinics in rural and underserved areas of Cartago Province. Utilizing a cross-sectional research approach, the survey gathered information about participants' healthcare practices, challenges, and needs. The survey was available in English, Spanish, and via in-person translator. A convenience sampling method was implemented and trained research assistants administered the survey. Participants were assured of confidentiality and anonymity to enhance the reliability of responses. Data collection included demographic variables to facilitate a comprehensive analysis of healthcare disparities.

Findings: Over five days, data was collected from 183 eligible patients. The average patient age was 49.9 years, with an average of 15.8 months since their last healthcare visit. Patients traveled an average of 19.3 km to see a healthcare provider and 15.6 km to collect prescribed medications. The most common transportation methods included 36% using public transportation, 31.5% walking, and 20.3% using personal vehicles. A significant 73% of patients reported a past medical history, most commonly hypertension. The three most common patient concerns were the need for more medical appointments, more attention from doctors during visits, and more efficient healthcare services.

Interpretation: Our study reveals that long travel distances and limited transportation options emphasize the need for change. With 36% of patients relying on public transportation and 31.5% resorting to walking, accessibility to essential healthcare services is significantly hindered. These challenges highlight the necessity for dedicated transportation solutions and infrastructure improvements to help rural Costa Ricans access healthcare. The lack of available appointments, with some scheduled years in advance, and the insufficient attention from doctors highlight the need to increase appointment availability and improve the quality of patient care.


Source of Funding: None
Original languageAmerican English
StatePublished - 13 Sep 2024
EventSymposium on Tribal and Rural Innovation in Disparities and Equity for Health - Tahlequah, United States
Duration: 13 Sep 202413 Sep 2024

Conference

ConferenceSymposium on Tribal and Rural Innovation in Disparities and Equity for Health
Country/TerritoryUnited States
CityTahlequah
Period13/09/2413/09/24

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