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Employment-Related Constraints: Determinants of Primary Health Care Access?

Health Care Environment and Systems Department at the University of Florida College of Nursing

Shawn M. Kneipp, PhD, ARNP

Health Care Environment and Systems Department at the University of Florida College of Nursing

This study examines the extent to which sick pay, job flexibility, and availability of after-hours care affect low-income workers’ ability to access primary health care services in a rural north central Florida community (n = 77). Workers with paid leave were as likely to report difficulty accessing health care as workers without paid leave; having more job flexibility, however, significantly reduced workers’ odds of experiencing difficulty accessing sick and preventive care. Reported difficulty leaving work to obtain sick care was also strongly associated with a perceived need for after-hours care. Full-time workers who were ill, did not have the flexibility of leaving work during regular working hours, and had no access to after-hours care reported the greatest difficulty accessing primary health care services.

Key Words: primary health care • health services accessibility • low income • sick leave • job flexibility • workers

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