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Factors affecting women's access to primary care in the United States since the Affordable Care Act: A mixed-methods systematic review.


ABSTRACT:

Background

In the United States, the Affordable Care Act (ACA) expanded public and private health coverage, increased health insurance affordability, reduced healthcare costs, and improved healthcare quality for many. Despite ACA provisions, lack of insurance and other factors continue to affect working-age women's access to primary care services.

Methods

We conducted a mixed-method systematic review to identify factors that affect women's access to primary care services since the ACA. In January 2021, MEDLINE, CINAHL, PsycINFO, and Web of Science were searched from 2010 to 2021 and an updated search was conducted in October 2023. We included 26 quantitative and qualitative studies reporting determinants, barriers and facilitators of women's primary care access for women (18

SUBMITTER: Gilchrist A 

PROVIDER: S-EPMC11658587 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature