Pa. Margolis et al., THE REST OF THE ACCESS-TO-CARE PUZZLE - ADDRESSING STRUCTURAL AND PERSONAL BARRIERS TO HEALTH-CARE FOR SOCIALLY DISADVANTAGED-CHILDREN, Archives of pediatrics & adolescent medicine, 149(5), 1995, pp. 541-545
A mother brings her 2-year-old child to the office at 4:30 Friday afte
rnoon. The child has been seen only once in the practice for an episod
e of otitis media. The child missed her follow-up appointment. When th
e receptionist asks why the child is here, the mother responds that sh
e 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 he
alth insurance. The mother did not bring her immunization record and i
s not certain what preventive care the child has received in the past.