Lillie-Blanton Marsha, Hoffman Catherine
Henry J. Kaiser Family Foundation, Washington, DC, USA.
Health Aff (Millwood). 2005 Mar-Apr;24(2):398-408. doi: 10.1377/hlthaff.24.2.398.
Research showing racial/ethnic disparities in medical care obtained by people with comparable insurance has raised questions about the extent to which health insurance improves opportunities for care. To assess whether insurance expansions could be expected to reduce racial/ethnic disparities in access to care, this paper reviews evidence from studies specifically designed to quantify the contribution of health insurance to racial/ethnic disparities in access. The studies provide evidence that a sizable share of the differences in whether a person has a regular source of care could be reduced if Hispanics and African Americans were insured at levels comparable to those of whites.
研究表明，在拥有可比保险的人群所获得的医疗保健中存在种族/族裔差异，这引发了关于医疗保险在多大程度上改善就医机会的问题。为了评估保险范围的扩大是否有望减少获得医疗服务方面的种族/族裔差异，本文回顾了专门设计用于量化医疗保险对获得医疗服务方面的种族/族裔差异所做贡献的研究证据。这些研究提供的证据表明，如果西班牙裔和非裔美国人的保险覆盖水平与白人相当，那么在是否有固定医疗服务来源方面的差异中有相当大一部分是可以减少的。
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