Table 2.

Categories and Subcategories of Barriers With Frequencies/Percents

Category 1 Patient/Family Factors
Number of caretakers/number of primary households0 (.0)
Identified primary caretaker0 (.0)
Conflict/lack of conflict between caretakers6 (.9)
Priority of caring for asthma relative to other concerns0 (.0)
Compliance/noncompliance of family with doctor prescribed plan17 (2.7)
Parent/child relationship4 (.6)
Compliance/noncompliance of child with parent's recommendations40 (6.5)
Parental attitude toward disease46 (7.4)
Child's attitude toward disease21 (3.4)
Family support for care/management of disease9 (1.4)
Knowledge/lack of knowledge about asthma, asthma medications, and their use124 (20.0)
Misperceptions/perceptions regarding asthma, asthma medications, and their use
Total267 (42.9)
Category 2 Health Care System Factors
Primary location for asthma care (PMD, hospital clinic, specialist, community clinic, ED)—where I go16 (2.5)
Presence/absence of insurance16 (2.5)
Type of insurance if present30 (4.8)
Changes in insurance policies regarding medication coverage/methods of obtaining medications1 (.2)
Knowledge regarding insurance/Medicaid5 (.8)
Total68 (10.8)
Category 3 Health Care Provider Factors
General satisfaction with and trust in health care provider/lack of trust or dissatisfaction with health care provider14 (2.3)
Relationship between health care provider and parent/child14 (2.3)
Education regarding asthma, asthma care, and medication use given in understandable manner42 (6.8)
Type of health care provider seen for asthma care (primary care doctor, nurse practitioner, specialist)—who I see0 (.0)
Continuity/lack of continuity of provider14 (2.3)
Availability/lack of availability of primary provider during office hours6 (.9)
Availability/lack of availability of primary provider/representative after office hours6 (.9)
Ability/inability to get appointment for illness in timely fashion5 (.8)
Waiting time in office at time of appointment7 (1.1)
Total108 (17.4)
Category 4 Environmental Factors
Accessibility to provider/available and reliable transportation/geographic location of the provider6 (.9)
Financial constraints—money for transportation and medications13 (2.1)
Housing constraints—unable to move/change allergen exposure8 (1.3)
Accessibility to pharmacy—open, safe location 24 hours/day0 (.0)
Available social support from friends and community5 (.8)
Available support from school53 (8.6)
Knowledge/lack of knowledge regarding environmental triggers for asthma (includes aeroallergens, dust, cockroaches, exercise, weather)/perceptions and misperceptions regarding the role of environmental triggers for asthma90 (14.6)
Total175 (28.3)