Systemic Inequities in Access to Healthcare: Policy Determinants and Intervention Outcomes in Underserved Populations

AUTHOR : Dr.USHA VATHALURU

GENDER SPECIALIST

APARD

KURNOOL, ANDHRA PRADESH , INDIA.

Abstract

Systemic inequities in healthcare access significantly influence health outcomes among underserved populations. Despite policy initiatives aimed at bridging these gaps, disparities persist due to socio-economic, geographic, and structural barriers. This study evaluates the determinants of healthcare inequity and the effectiveness of policy interventions using a multi-method approach. A sample of 95 participants across five underserved communities was selected to analyze healthcare access patterns, perceived barriers, and intervention outcomes. Structural Equation Modeling (SEM) using AMOS was employed to examine relationships between policy determinants, socio-demographic factors, and healthcare access efficacy. Key findings indicate that policy awareness, resource allocation, and community engagement positively impact equitable access, whereas socio-economic disadvantage and geographic isolation remain significant impediments. Five intervention strategies, including mobile health units, telemedicine, community health worker programs, financial subsidies, and health education campaigns, were assessed for efficacy. Analytical results highlight significant improvements in service utilization and patient satisfaction following targeted interventions. SEM path analysis revealed strong correlations between policy support, intervention intensity, and outcome measures. Implications of the study underscore the necessity of multi-faceted policy approaches to reduce healthcare disparities. This research contributes to understanding the systemic roots of healthcare inequities and informs evidence-based strategies for policy makers, health administrators, and community leaders committed to fostering equitable healthcare access.