国家对怀孕的非法移民和产前保险的公共覆盖范围
Meghan Bellerose1, Linqing Zheng1, Arielle Desir1
1School of Public Health, Brown University.
The Milbank quarterly
|July 27, 2025
概括
对于怀孕的无证移民而言,国家资助的公共保险显著增加了他们的产前医疗补助覆盖. 这种政策扩展并没有减少其他保险选择,改善了获得基本妊娠护理的机会.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 移民健康 移民健康
背景情况:
- 由于无法获得联邦医疗补助,无证移民面临着获得基本妊娠护理的障碍.
- 24个州和华盛顿特区为怀孕的无证移民提供国家资助或CHIP选择.
- 国家政策对于扩大对这一弱势群体的保险准入至关重要.
研究的目的:
- 检查怀孕无证移民的州公共保险政策与他们的产前保险覆盖范围之间的关联.
- 评估这些政策对整体保险费率和医疗补助与私人保险的利用的影响.
主要方法:
- 利用了2016-2021年怀孕风险评估监测系统数据,与来自19个州和华盛顿特区的出生证明记录联系在一起.
- 在收入符合条件的移民和非移民之间比较保险普及率 (任何,医疗补助,私人).
- 采用线性回归模型来估计州公共保险政策与移民产前保险覆盖之间的关联.
主要成果:
- 居住在为怀孕的无证移民提供公共保险的州,与整体产前保险增加16.9个百分点有关.
- 在制定政策的州,移民中医疗补助计划的产前护理覆盖率增加了16.9个百分点.
- 在拥有公共保险政策的州中,没有观察到私人或其他保险覆盖的显著减少.
结论:
- 为怀孕的无证移民提供国家资助的公共保险有效地增加了产前保险覆盖范围,主要是通过医疗补助扩展.
- 这些政策提高了获得推的怀孕护理的机会,而不会取代其他保险类型.
- 扩大州级公共保险是改善无证移民母亲健康结果的可行策略.
更多相关视频
08:07Author Spotlight: Advancing Labor Management Through Electromyometrial Imaging for Understanding Uterine Contractions
Published on: May 26, 2023
1.3K
05:13Preclinical Model of Prenatal Delta-9-Tetrahydrocannabinol Exposure to Assess Its Impact on Neurodevelopmental Outcomes
Published on: February 28, 2025
331
相关概念视频
Introduction To Health Care Delivery System
3.2K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
3.2K
Preventive Healthcare Services
1.1K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.1K
Standards of Care I
760
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
760
Healthcare Agencies II
753
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
753
Primary Healthcare Services
1.5K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.5K
Methods Of Healthcare Delivery System
3.5K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.5K
