当患者需要律师来满足他们的健康需求时,没有建立MLP计划的组织中的临床医生应该怎么做?
Dinushika Mohottige1, Karina Albistegui Adler2, Allison Charney3
1Assistant professor in the Institute of Health Equity Research at the Icahn School of Medicine and the Barbara T. Murphy Division of Nephrology at Mount Sinai in New York City.
AMA journal of ethics
|August 1, 2024
概括
无证移民面临着医疗保健的重大法律和结构性障碍,影响功能衰竭等疾病. 获得护理和资源的机会因地区而异,受保险覆盖和医疗法律伙伴关系的影响.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 健康 公平 卫生 公平
背景情况:
- 在美国,无证人口在获得医疗保健方面遇到重大法律和结构性障碍.
- 这些障碍在患有慢性疾病 (如功能衰竭) 的人群中尤为明显.
- 医疗保健和医疗保健准入方面的差异因保险覆盖率和资源可用性的州级变化而加剧.
研究的目的:
- 检查美国无证个人健康的多方面的法律和结构性决定因素.
- 分析政策变化如何影响这一弱势群体获得医疗保健.
- 突出医疗法律伙伴关系在解决健康不平等方面的作用.
主要方法:
- 对特定案例研究的评论.
- 对健康的结构性和法律决定因素的政策分析.
- 审查有关无证人员获得医疗保健的现有文献.
主要成果:
- 严重的法律和结构性障碍阻碍了无证移民获得医疗保健.
- 国家政策和保险覆盖范围的变化导致健康结果的区域差异.
- 对健康促进资源的有限访问,包括医疗法律伙伴关系,进一步使这一群体处于不利地位.
结论:
- 解决无证人员的健康需求需要针对法律和结构障碍的政策干预.
- 提高保险覆盖率和资源可访问性对于改善健康公平至关重要.
- 医疗法律伙伴关系是缓解医疗保健获取挑战的重要策略.
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