Trends in perceived cost as a barrier to medical care, 1991-1996.

Objectives: This study examined trends in perceived cost as a barrier to medical care.

Methods: The Behavioral Risk Factor Surveillance System was used to analyze monthly telephone survey data from 45 states.

Results: Overall, the percentage of persons perceiving cost as a barrier to medical care increased from 1991 until early 1993 and then declined to baseline values in late 1996. Perceived cost was a greater barrier in 1996 than in 1991 for persons with low incomes and for those who were unemployed and uninsured. For self-employed persons, percentages increased until mid-1993 and then remained constant.

Conclusions: Further efforts are needed to improve access to medical care for socially disadvantaged populations.