• Barriers to Screening Adverse Childhood Experience and Suicide Risk in Adults: An Integrative Review

      Miracle, Claudia C. (University of Alaska Anchorage, 2019-08-01)
      Adverse childhood experiences (ACE) can have significant emotional and behavioral consequences long after the events occurred. This integrative review answered the clinical question: What are the barriers to routinely screening adults for ACEs to identify those at higher risk of suicide?” Search criteria were applied using several databases to find a body of relevant sources, that were critically appraised. Data were analyzed by ordering, categorizing, and summarizing. Levels of evidence ranged from I through V. Primary care providers reported several barriers to screening for ACEs, to include lack of time, competing primary practice recommendations, lack of confidence in ACE screening skills, lack of education, provider’s discomfort with asking patients about ACE, lack of knowledge of male and of female ACE prevalence, and providers’ negative attitude towards screening ACEs.
    • Describing Barriers to Healthcare Access in the Homer Area, Alaska

      Zatz, Lisa M. (University of Alaska Anchorage, 2016-05-01)
      Data on healthcare access barriers are lacking for any location in the state of Alaska. The current project set out to describe the barriers to healthcare access experienced by people living in the rural Homer Area of southcentral Alaska. Of the 124 surveys returned 50 (46%) of the respondents identified cost, lack of specialists, transportation, time, and mistrust/dislike of providers as barriers that had kept them from accessing local heathcare in the previous 12 months. Improving healthcare access for this rural population will require a paradigm shift in how we think about healthcare. Novel approaches to when, where, and how healthcare is delivered will need to be considered if healthcare access is to be improved in the region.
    • Understanding Barriers to Health Insurance of Uninsured and Sporadically Insured Alaskans

      Wilson, Meghan; Hanna, Virgene; Frazier, Rosyland (2007)
      It’s no surprise that a lot of the Alaskans who don’t have health insurance say they just can’t afford it. That’s what individual Alaskans and representatives of small businesses told us, when we held focus groups in Anchorage, the Mat-Su and Kenai Peninsula boroughs, and Kodiak. But the focus groups, held from late 2006 through early 2007, did much more than just confirm what many Alaskans— and millions of other Americans—say about the costs of health insurance. We held the focus groups under contract with the Alaska Department of Health and Social Services, as part of the state’s effort to learn more about the barriers a substantial number of Alaskans face in getting health-care coverage. There were 16 focus groups, attended by 89 individual Alaskans, 30 representatives of small businesses, and 5 Alaskans who sell health insurance.