Pandey Sanjay K, Cantor Joel C
Dept. of Public Policy and Administration, Rutgers University, 401 Cooper Street, Camden, NJ 08102-1521, USA.
J Urban Health. 2004 Mar;81(1):135-49. doi: 10.1093/jurban/jth090.
Access to care is a major problem in urban America that increasingly affects new segments of the population. Although the demographic profile of the uninsured has changed, recording large increases in numbers of moderate-income uninsured persons, it has not been accompanied by changes in health care safety net programs or increased availability of private insurance products tailored to these groups. Any such changes, however, need to be based on a good understanding of the similarities and differences between low-income and moderate-income uninsured. Based on a telephone survey of the uninsured in three northern New Jersey counties, this study presents a systematic comparison of low-income (below 150% of federal poverty level) and moderate-income (150% to 350% federal poverty level) uninsured on attitudes to health care, perceptions regarding access to care, health status, and health care utilization. We discuss the implications of this comparison for expanding health care access and design of safety net programs and institutions.
获得医疗服务是美国城市地区的一个主要问题，且日益影响到新的人群。尽管未参保人群的人口结构发生了变化，中等收入未参保人数大幅增加，但医疗保健安全网项目并未随之改变，也没有增加针对这些群体的私人保险产品供应。然而，任何此类改变都需要在充分了解低收入和中等收入未参保人群异同的基础上进行。基于对新泽西州北部三个县未参保人群的电话调查，本研究对低收入（低于联邦贫困线150%）和中等收入（联邦贫困线的150%至350%）未参保人群在医疗保健态度、就医可及性认知、健康状况和医疗保健利用方面进行了系统比较。我们讨论了这种比较对于扩大医疗服务可及性以及安全网项目和机构设计的意义。
