From 1998 to 2000, researchers at the Health Research and Educational Trust of New Jersey, a nonprofit affiliate of the New Jersey Hospital Association, identified areas of New Jersey with barriers to primary care access.
Data sources included records for New Jersey patients hospitalized for ambulatory care-sensitive conditions such as asthma, diabetes, and gastroenteritis, which are likely to lead to hospitalization when not adequately treated or managed in primary care sites.
In addition, the research team conducted focus groups with consumers and professionals who live or work in those areas to identify possible reasons for, and solutions to, the problems of access barriers.
Based on the analysis of ambulatory care-sensitive admissions, the project director reported the following:
Based on an analysis of focus groups findings, the project director reported the following:
Based on focus group suggestions, as well as the conclusions of other peer-reviewed studies, the research team developed 38 recommendations, grouped in four major areas, for New Jersey government and public health officials to consider to improve access to, and use of, primary care.
A few key recommendations include: