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

PLoS One. 2024 Apr 26;19(4):e0292983. doi: 10.1371/journal.pone.0292983. eCollection 2024.

Abstract

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 types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Child
  • Child, Preschool
  • England
  • Female
  • Focus Groups
  • Health Services Accessibility* / economics
  • Humans
  • Male
  • Poverty*
  • Qualitative Research
  • State Medicine / economics

Grants and funding

The study was funded by the National Institute for Health and Care Research (NIHR) Applied Research Collaboration (ARC) North East and North Cumbria (NIHR200173) - https://arc-nenc.nihr.ac.uk/. The NIHR ARC NENC played no role in the collection, analysis and interpretation of data, writing of the report, and in the decision to submit the article for publication; the views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. The funding was granted to LB, LMZ, JR, LT, and JW.