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Addressing Structural and Personal Barriers to Health Care for Socially Disadvantaged Children

Peter A. Margolis, MD, PhD; Timothy Carey, MD, MPH; Carole M. Lannon, MD, MPH; JoAnne L. Earp, ScD; Linda Leininger, MD, MPH

Arch Pediatr Adolesc Med. 1995;149(5):541-545.

Abstract
A mother brings her 2-year-old child to the office at 4:30 Friday afternoon. The child has been seen only once in the practice for an episode of otitis media. The child missed her follow-up appointment. When the receptionist asks why the child is here, the mother responds that she was able to get a ride today with a neighbor who has an appointment with another physician in the practice. The child is not covered by health insurance. The mother did not bring her immunization record and is not certain what preventive care the child has received in the past.

Author Affiliations
From the Departments of Pediatrics (Drs Margolis and Lannon), Medicine (Drs Carey, Lannon, and Leininger), and Health Behavior and Health Education (Dr Earp), The University of North Carolina, Chapel Hill.

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