难民的人力和社会资本和医疗保险覆盖范围
Young-Joo Lee1, Taehyun V Won2
1Lilly Family School of Philanthropy, Indiana University Indianapolis, Indianapolis, IN, USA. yl225@iu.edu.
Journal of immigrant and minority health
|December 11, 2024
概括
难民的社会资本,而不是人力资本,改善了医疗保险的覆盖范围. 参与宗教团体和多元化网络是难民获得医疗保健的关键. 重新安置计划应该促进社会联系.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 卫生政策 卫生政策
背景情况:
- 缺乏医疗保险是难民面临的一个重大挑战.
- 了解影响难民医疗保险的因素对于政策至关重要.
- 人力和社会资本是覆盖范围的潜在决定因素.
研究的目的:
- 检查难民的人力和社会资本及其医疗保险覆盖范围之间的关系.
- 确定社会资本的具体方面,以提高难民获得医疗保健的机会.
- 为改善难民健康状况的重新安置计划提供信息.
主要方法:
- 利用了2020年难民年度调查的公共使用数据文件.
- 包括在2015年至2019年期间进入美国的770名难民.
- 采用有序试验回归来分析医疗保险覆盖水平 (没有,缺口,全年).
主要成果:
- 难民人力资本 (来自本国或美国) 与医疗保险覆盖没有任何关联.
- 社会资本,特别是参与宗教组织和桥梁网络,与覆盖率有积极的相关性.
- 在初始政府援助结束后出现了覆盖差距;有薪就业和收入与覆盖有负面关联.
结论:
- 难民社会资本对于导航医疗保健和获得医疗保险至关重要.
- 人力资本对获得医疗保健的典型积极影响可能不适用于难民人口.
- 重新安置计划应优先考虑建立难民的社会联系和多样化网络.
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