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Background <p>Black populations have had higher prevalence, incidence, and mortality rates for various chronic illnesses than White populations throughout the United States and Allegheny County, Pennsylvania. Community-clinical linkages (CCL), a strategy that can utilize the community sector to connect residents with the clinical sector, may promote access to resources that can alleviate these disparities. To better inform a CCL strategy, we examined barriers to accessing clinical resources from potential patients and strategies for enhancing engagement with residents.</p> Methods <p>As part of a larger evaluation of a community-based coalition that addressed chronic illnesses in Black populations, we held four focus groups with 29 residents in Black neighborhoods throughout the county regarding barriers to resources and engagement strategies. We conducted a thematic qualitative analysis using a series of inductive and deductive processes.</p> Results <p>Several themes emerged regarding barriers to accessing clinical resources including residents’ lack of aid and lack of trust in existing aid while navigating resources, lack of awareness of resources, lack of trust in healthcare providers and perceived lack of trust from providers, inconvenient transportation, and long wait times. Suggestions for disseminating information included various forms of advertisement, engagement with community-based organizations, and a central location to find information regarding resources.</p> Conclusion <p>The relationship between community programming that connects people with clinical resources is impacted by various barriers that patients face when accessing resources. In addition to making referrals, patient-specific barriers such as mistrust, transportation, wait times, and awareness should be addressed.</p>

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Perceived Barriers to Accessing Clinical Resources for Chronic Illnesses in Residents of Black Communities in Allegheny County, Pennsylvania

  • 期刊论文

  • 发表日期：

    2026年7月11日

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  • Stephanie N. Christian-Afflu,
  • Andrea D. Casas,
  • Dara D. Mendez,
  • Evan S. Cole,
  • Patricia I. Documet,
  • Thistle I. Elias,
  • Jennifer P. Elliott,
  • Tiffany L. Gary-Webb

摘要

Background

Black populations have had higher prevalence, incidence, and mortality rates for various chronic illnesses than White populations throughout the United States and Allegheny County, Pennsylvania. Community-clinical linkages (CCL), a strategy that can utilize the community sector to connect residents with the clinical sector, may promote access to resources that can alleviate these disparities. To better inform a CCL strategy, we examined barriers to accessing clinical resources from potential patients and strategies for enhancing engagement with residents.

Methods

As part of a larger evaluation of a community-based coalition that addressed chronic illnesses in Black populations, we held four focus groups with 29 residents in Black neighborhoods throughout the county regarding barriers to resources and engagement strategies. We conducted a thematic qualitative analysis using a series of inductive and deductive processes.

Results

Several themes emerged regarding barriers to accessing clinical resources including residents’ lack of aid and lack of trust in existing aid while navigating resources, lack of awareness of resources, lack of trust in healthcare providers and perceived lack of trust from providers, inconvenient transportation, and long wait times. Suggestions for disseminating information included various forms of advertisement, engagement with community-based organizations, and a central location to find information regarding resources.

Conclusion

The relationship between community programming that connects people with clinical resources is impacted by various barriers that patients face when accessing resources. In addition to making referrals, patient-specific barriers such as mistrust, transportation, wait times, and awareness should be addressed.