Trends in Perceived Cost as a Barrier to Medical Care, 1991-1996

Objectives. This study examined trends in perceived cost as a barrier to medical care. Methods. The Behavioral Risk Factor Surveillance System was used to analyze monthly telephone survey data from 45 states. Results. Overall, the percentage of persons perceiving cost as a barrier to medical care increased from 1991 until early 1993 and then declined to baseline values in late 1996. Perceived cost was a greater barrier in 1996 than in 1991 for persons with low incomes and for those who were unemployed and uninsured. For self-employed persons, percentages increased until mid-1993 and then remained constant. Conclusions. Further efforts are needed to improve access to medical care for socially disadvantaged populations. (Am J Public Health. 1999;89: 1410-1413)