Almeida R A, Dubay L C, Ko G
Health Policy Center, Urban Institute, 2100 M Street, NW, Washington, DC 20037, USA.
Health Care Financ Rev. 2001 Summer;22(4):27-47.
Data from the 1997 National Survey of America's Families (NSAF) are used to analyze access to care and use of health care services for low-income women. Three groups of women are examined: those with Medicaid coverage, those with private coverage, and those with no insurance. Findings show that uninsured women faced larger access barriers and utilized fewer services, particularly preventive care services, than women with either public or private coverage. Access and use did not differ greatly between Medicaid and privately covered women. The results suggest that expansions in coverage, either through Medicaid or through private options, could improve access to care for uninsured women.
1997年美国全国家庭调查（NSAF）的数据被用于分析低收入女性获得医疗服务的情况以及她们对医疗保健服务的使用情况。研究了三组女性：有医疗补助覆盖的女性、有私人保险覆盖的女性以及没有保险的女性。研究结果表明，与有公共或私人保险覆盖的女性相比，未参保女性面临更大的就医障碍，使用的服务更少，尤其是预防性医疗服务。有医疗补助覆盖的女性和有私人保险覆盖的女性在就医机会和服务使用方面没有太大差异。结果表明，通过医疗补助或私人保险选项扩大保险覆盖范围，可以改善未参保女性获得医疗服务的机会。
