在两个政策背景下,医疗保险覆盖率预测了拉丁裔移民的医疗保健使用情况
Journal of health care for the poor and underserved
|June 3, 2024
概括
拉丁裔移民的医疗保险覆盖面对医疗保健利用有重大影响. 增加的保险导致了更多的医疗访问和口译服务,但减少了心理健康和护理协调服务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 移民健康 移民健康
背景情况:
- 联邦合格卫生中心 (FQHCs) 服务于弱势群体,包括低收入拉丁裔移民.
- 了解医疗保险覆盖率和医疗保健利用率之间的关系对于这一群体至关重要.
- 之前的研究还没有完全阐明保险状况波动如何影响拉丁裔移民在医疗保健服务使用的多样性.
研究的目的:
- 检查医疗保险覆盖范围的变化与医疗保健利用模式之间的关联.
- 为了比较华盛顿特区拉丁裔移民的医疗保健使用情况,与邻近的县没有普遍保险选项相比.
主要方法:
- 对2016-2019年电子健康记录 (EHR) 数据的分析.
- 使用描述性回归和客户内部固定效应模型.
- 数据来源于FQHC,主要为低收入拉丁裔移民提供服务.
主要成果:
- 拥有较高保险访问比例的客户平均有更多的医疗访问和口译服务.
- 增加的保险覆盖率与较少的心理健康和护理协调访问相关.
- 华盛顿特区的拉丁裔移民 (通用保险选项) 拥有更高的保险 (89%) 和更多的医疗访问,而不是邻近县的移民.
结论:
- 医疗保险覆盖面对拉丁裔移民使用的医疗保健服务的类型和数量产生重大影响.
- 虽然保险增加了获得医疗和口译服务的机会,但它可能会减少对心理健康和护理协调的利用.
- 全民医疗保险选择似乎提高了覆盖率,并增加了这一群体的医疗访问频率.
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