Barriers To Health Promotion And Disease Prevention Within The Military Healthcare System
Uniformed Services University Of The Health Sciences Bethesda United States
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Traditionally, healthcare has been focused on illness and disease. Many researchers have described barriers in accessing care during illness. The purpose of this nonexperimental descriptive study was to determine if similar barriers were experienced in a managed-care system when people sought care for wellness activities in a military setting in the United States. The theoretical framework for this study is Penders Health Promotion Model. According to Penders Model, cognitive-perceptual factors such as perceived barriers determine participation in health promotion. The more barriers a person encounters in health promotion activities, the less likely that person will participate in health promotion activities. Data was collected from a large city with several military installations in the south central United States. The convenience sample consisted of active duty Air Force menand women currently enrolled in TriCare, the militarys managed-care system. A modified version of a tool developed by K.A. Melnyk was used for data collection in this study.The survey tool had questions related to demographics and barriers which might have affected an individuals preventive care practices. More specifically, it included 33-items rated on a 4 point Likert scale related to five categories of barriers fear, inconvenience, provider consumer relationship, cost, and site-related factors.