May Jessica H, Cunningham Peter J, Hadley Jack
Issue Brief Cent Stud Health Syst Change. 2004 Nov(90):1-4.
Less than half of uninsured Americans either typically use or are aware of a safety net provider in their community, according to a national study by the Center for Studying Health System Change (HSC). Among all uninsured people, those with lower-incomes, racial/ethnic minorities and people living closer to safety net providers are more likely to know of or use a safety net provider for medical care. Uninsured people identify physician offices and community health centers most frequently as sources of lower-cost medical care, while hospital-based facilities--outpatient and emergency departments--are less likely to be mentioned. Despite high levels of emergency department (ED) use by uninsured people, few identify EDs as places to get affordable medical care.
根据医疗体系变革研究中心（HSC）开展的一项全国性研究，不到半数未参保的美国民众通常会使用或知晓其社区内的安全网医疗服务机构。在所有未参保人群中，低收入者、少数族裔以及居住在距离安全网医疗服务机构较近地区的人群更有可能知晓或使用安全网医疗服务机构来获取医疗护理。未参保人群最常将医生诊所和社区健康中心视为低成本医疗护理的来源，而基于医院的机构——门诊和急诊科——则较少被提及。尽管未参保人群大量使用急诊科，但很少有人将急诊科视为能够获得平价医疗护理的地方。
