在非法农场工人中限制医疗保险扩张和医疗保健使用.
Katherine Lacy1, Sankar Mukhopadhyay2
1U.S. Department of Agriculture, Economic Research Service, Kansas City, Missouri, USA.
Health services research
|December 20, 2025
概括
加利福尼亚州限制范围的Medi-Cal计划显著改善了无证农场工人的医疗保健机会. 扩张导致机构提供商的使用增加,Medi-Cal覆盖范围更为有限,提高了护理利用率.
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:
- 无证农场工人面临着医疗保险和医疗保健获得的重大障碍.
- 加利福尼亚州的限制范围的Medi-Cal计划旨在扩大对这一脆弱人口的覆盖范围.
- 了解该计划的影响对于为未来的卫生政策提供信息至关重要.
研究的目的:
- 评估加利福尼亚州限制范围的Medi-Cal计划对医疗保险覆盖的影响.
- 评估计划扩展后无证农场工人医疗保健利用情况的变化.
- 确定Medi-Cal扩张对获得护理的因果关系.
主要方法:
- 采用差异差异方法,将加利福尼亚州的农场工人与其他州的农场工人进行比较.
- 利用了2001-2020年全国农业工人调查 (NAWS) 的数据.
- 分析包括使用十年的预处理数据评估并行趋势.
主要成果:
- 限制范围的Medi-Cal扩张与无证农场工人的覆盖率增加了11.6%.
- 机构医疗保健提供者的使用 (诊所,医院,急诊室) 增长了8.0%.
- 观察到私人诊所使用率下降,同时有证据支持平行趋势假设.
结论:
- 扩大限制范围的Medi-Cal显然增加了无证农场工人的医疗保健机会.
- 政策干预可以有效地改善医疗保险覆盖率和利用率,在服务不足的人群中.
- 研究结果支持扩大类似计划,以提高弱势群体获得护理的机会.
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