Document Type

Journal Article

Publication Title

Applied Nursing Research


W.B. Saunders


School of Nursing and Midwifery




This is an Author's Accepted Manuscript of:

Shaheen, A. M., Hamdan, K. M., Albqoor, M., & Arabiat, D. H. (2020). Perceived barriers to healthcare utilization among Jordanian families: A family Centred approach. Applied Nursing Research, 54, Article 151313.


Aim: This study aimed to understand the barriers to health services utilization by Jordanian families. Background: Access to quality healthcare services is a significant issue facing healthcare systems. Healthcare systems must identify and apply measures to overcome barriers that face utilizing health services and thus increase clients' satisfaction. Methods: A cross-sectional qualitative research design was used in this study. Semi-structured interviews were conducted with twenty-five families to elicit the model of health services barriers. Results: The analysis of the family interviews led to four main themes related to health services barriers: service system, structural/physical barriers, equipment and medication, and staff competency. This study would increase awareness about underserved populations that avoid seeking medical care. Conclusion: Public health efforts are required to increase awareness about the importance of contacting the healthcare system as early as possible. However, public health policy may require developing new initiatives that reduce these perceived barriers, such as enhancing communication skills among healthcare workers, increasing supervision and inspection of healthcare quality, and enhancing patient engagement by using phone calls and messages as appointment reminders and careful follow-up. © 2020



Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.