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未参保者获得医疗服务的情况：能看医生就够了吗？

Access to care for the uninsured: is access to a physician enough?

作者信息

Mainous A G, Hueston W J, Love M M, Griffith C H

机构信息

Department of Family Medicine, Medical University of South Carolina, Charleston 29425, USA.

出版信息

Am J Public Health. 1999 Jun;89(6):910-2. doi: 10.2105/ajph.89.6.910.

DOI:10.2105/ajph.89.6.910
PMID:10358685
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1508656/
Abstract

OBJECTIVES

This study examined a private-sector, statewide program (Kentucky Physicians Care) of care for uninsured indigent persons regarding provision of preventive services.

METHODS

A survey was conducted of a stratified random sample of 2509 Kentucky adults (811 with private insurance, 849 Medicaid recipients, 849 Kentucky Physicians Care recipients).

RESULTS

The Kentucky Physicians Care group had significantly lower rates of receipt of preventive services. Of the individuals in this group, 52% cited cost as the primary reason for not receiving mammography, and 38% had not filled prescribed medicines in the previous year.

CONCLUSIONS

Providing free access to physicians fills important needs but is not sufficient for many uninsured patients to receive necessary preventive services.

摘要

目的

本研究调查了一个针对未参保贫困人口的全州性私营部门项目（肯塔基州医生关怀项目）的预防服务提供情况。

方法

对2509名肯塔基州成年人进行分层随机抽样调查（811名有私人保险者、849名医疗补助接受者、849名肯塔基州医生关怀项目接受者）。

结果

肯塔基州医生关怀项目组接受预防服务的比例显著较低。该组中有52%的人表示费用是未接受乳房X光检查的主要原因，38%的人在前一年未按处方取药。

结论

提供免费就医渠道满足了重要需求，但对许多未参保患者来说，这并不足以让他们获得必要的预防服务。

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