Rudowitz Robin, Rowland Diane, Shartzer Adele
Kaiser Commission on Medicaid and the Uninsured, Washington, DC, USA.
Health Aff (Millwood). 2006 Sep-Oct;25(5):w393-406. doi: 10.1377/hlthaff.25.w393. Epub 2006 Aug 29.
Before Hurricane Katrina struck in August 2005, New Orleans had a largely poor and African American population with one of the nation's highest uninsurance rates, and many relied on the Charity Hospital system for care. The aftermath of Katrina devastated the New Orleans health care safety net, entirely changing the city's health care landscape and leaving many without access to care a year after the storm. State and local officials face the challenge of rebuilding and improving the city's health care system by assuring health care coverage for the population and promoting broader access to primary care and community-based health services.
在2005年8月卡特里娜飓风袭击之前,新奥尔良的人口大多贫困且以非裔美国人为主,未参保率位居全国前列,许多人依靠慈善医院系统获得医疗服务。卡特里娜飓风的后果摧毁了新奥尔良的医疗安全网,彻底改变了该市的医疗格局,导致许多人在风暴过后一年无法获得医疗服务。州和地方官员面临着重建和改善该市医疗系统的挑战,即确保民众获得医疗保险,并促进更广泛地获得初级保健和社区卫生服务。