Secondary School Athletic Trainers’ Navigation of Patient Socioeconomic Status Challenges in Care: A Qualitative Study

Mayrena Isamar Hernandez (), Elena Catherine Miller, Kevin Mark Biese, Luis Columna, Susan J. Andreae, Timothy McGuine, Traci Snedden, Lindsey Eberman and David Robert Bell
Additional contact information
Mayrena Isamar Hernandez: Department of Kinesiology, Sam Houston State University, Huntsville, TX 77340, USA
Elena Catherine Miller: Department of Kinesiology, University of Wisconsin–Madison, Madison, WI 53705, USA
Kevin Mark Biese: Department of Kinesiology, University of Wisconsin–Oshkosh, Menasha, WI 54952, USA
Luis Columna: Department of Kinesiology, University of Wisconsin–Madison, Madison, WI 53705, USA
Susan J. Andreae: Department of Kinesiology, University of Wisconsin–Madison, Madison, WI 53705, USA
Timothy McGuine: Department of Orthopedics & Rehabilitation, University of Wisconsin–Madison, Madison, WI 53705, USA
Traci Snedden: School of Nursing, University of Wisconsin–Madison, Madison, WI 53705, USA
Lindsey Eberman: Applied Medicine and Rehabilitation, Indiana State University, Terre Haute, IN 47803, USA
David Robert Bell: Department of Kinesiology, University of Wisconsin–Madison, Madison, WI 53705, USA

IJERPH, 2022, vol. 19, issue 24, 1-14

Abstract: Secondary school ATs (SSATs) are uniquely positioned healthcare providers at an optimal public health intersection where they can provide equitable healthcare to low socioeconomic status (SES) adolescents. SSATs face similar challenges to physicians in treating low SES patients, but their strategies may be different compared to other medical professions. However, the consequences of low SES population healthcare delivery by SSATs have not been explored. SSATs were asked to share what challenges, if any, they encounter with providing care for their low SES patients and what strategies they find most effective to overcome these challenges. Data were collected via semi-structured interviews and reflective field notes and analyzed using a four-step, interpretative phenomenological analysis (IPA) guided theme development. Data saturation was met, and the sample size aligned with other IPA studies. Trustworthiness was established with research triangulation and Yardley’s four principles. Three interrelated themes emerged: (a) mechanisms for identifying SES, (b) the impact of SES on care, and (c) navigating SES challenges. SSATs described many strategies that were gained through their clinical experiences to overcome healthcare barriers. SSATs have the potential to decrease health disparities through their role as a liaison and advocates for their low SES patients.

Keywords: socioeconomic status; social determinants of health; patient-centered care; health disparities (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

Downloads: (external link)
https://www.mdpi.com/1660-4601/19/24/16709/pdf (application/pdf)
https://www.mdpi.com/1660-4601/19/24/16709/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:24:p:16709-:d:1001566

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().