移民儿童获得医疗保健的结果和国家保险政策
Katherine E Douglas1, Michael C Monuteaux1, Katherine R Peeler2
1Divison of Emergency Medicine, Boston Children's Hospital, Boston, Massachusetts.
JAMA network open
|December 1, 2025
概括
国家政策对移民儿童获得医疗保险的影响很大. 包容性政策改善了获取机会,减少了与美国出生的儿童相比的差距.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
背景情况:
- 国家政策为300万美国移民儿童提供可变健康保险.
- 对于这些政策与该人口获得医疗保健的联系,人们的理解有限.
研究的目的:
- 检查移民和美国出生的儿童在医疗保险和医疗保健获取方面的差异.
- 分析国家保险政策如何影响移民儿童获得医疗保健的结果.
主要方法:
- 使用国家儿童健康调查 (2016-2022) 进行基于人口的回顾性横截面研究.
- 分析包括277,386名儿童 (3,097,329名移民儿童).
- 多变量后勤回归模型评估了移民身份,国家政策和医疗保健准入结果之间的关联.
主要成果:
- 与美国出生的儿童相比,移民儿童获得不间断的医疗保险和通常的护理来源的几率较低.
- 移民儿童在放弃医疗护理和面临转诊困难的可能性增加.
- 在具有最具包容性的政策的州,移民儿童的健康保险和初级保健提供者的几率增加.
结论:
- 与美国出生的同龄人相比,移民儿童在获得医疗保健方面存在显著的差异.
- 包括性的国家保险资格政策可以减轻这些差异,并改善移民儿童获得医疗保健的机会.
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