关于加利福尼亚州老年拉丁裔患者过渡到全方位Medi-Cal的定性研究
Annie Ro1, Celina Morales2, Connie Valencia3
1Joe C. Wen School of Population and Public Health, University of California, Irvine, 856 Health Sciences Quad Suite 3600, Irvine, CA, 92697-3957, USA. roa@hs.uci.edu.
BMC health services research
|December 31, 2025
概括
加利福尼亚州加利福尼亚州加利福尼亚州.
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:
- 加利福尼亚州在2022年5月将Medi-Cal (Medicaid) 扩展到50岁以上的低收入成年人,无论他们的移民身份如何.
- 这一政策变化旨在改善弱势群体获得医疗保健的机会.
研究的目的:
- 在Medi-Cal扩张之后,探索南加州50岁以上的新注册的无证患者的经验.
- 研究了招生,护理连续性,医疗保健利用和健康状况变化的障碍和促进因素.
主要方法:
- 使用焦点小组和采访对12名无证参与者的定性研究.
- 数据收集于2023年4月至12月的两个南加州联邦合格健康中心 (FQHC).
- 主题分析采用了演和归纳技术来分析患者对Medi-Cal过渡的看法.
主要成果:
- 大多数参与者成功地注册了Medi-Cal,经常得到社会工作者或诊所工作人员的帮助.
- 有些人经历了护理的连续性,而另一些人则注意到医疗保健负担能力有所改善.
- 所有参与者都报告了增加的安全感和更大的愿意寻求医疗保健服务.
结论:
- 医疗保险的扩张在招收老年无证成年人方面取得了相对成功.
- 扩张前的医疗保健准入影响了政策的影响,突出了差异.
- 专业招生支持对于成功获得医疗保健至关重要.
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