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美国低收入非裔美国家庭中的儿童生存与医疗保健

Child survival and health care among low-income African-American families in the United States.

作者信息

Hope K R

机构信息

United Nations, Multilateral Fund, Montreal, Quebec, Canada.

出版信息

Health Transit Rev. 1992 Oct;2(2):151-63.

Abstract

This paper provides an assessment and analysis of the increasing rates of mortality among the children of low-income African-American families in the United States and the intensifying problem of improper health care that seems to have given rise to it. The paper first documents the nature and determinants of the problem and then addresses the issue of policy prescriptions for eradicating the dilemma. The primary problem underlying the health-care access of low-income African-Americans is that there is neither a system of universal entitlement that ties their health care in with the rest of the population nor an explicit and comprehensive strategy for care outside the dominant private system.

摘要

本文对美国低收入非裔美国家庭儿童死亡率上升以及似乎由此引发的医疗保健不当这一日益严重的问题进行了评估和分析。本文首先记录了该问题的性质和决定因素,然后探讨了消除这一困境的政策处方问题。低收入非裔美国人获得医疗保健的主要问题在于,既没有将他们的医疗保健与其他人群联系起来的普遍权利制度,也没有在占主导地位的私营医疗体系之外的明确而全面的医疗保健战略。

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