Town Robert J, Wholey Douglas R, Feldman Roger D, Burns Lawton R
Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Health Aff (Millwood). 2007 Jul-Aug;26(4):1170-80. doi: 10.1377/hlthaff.26.4.1170.
Non-Hispanic whites are significantly more likely to have health insurance coverage than most racial/ethnic minorities, and this differential grew during the 1990s. Similarly, wealthier Americans are more likely to have health insurance than the poor, and this difference also grew over the 1990s. This paper examines the role of provider competition in increasing these disparities in insurance coverage. Over the 1990s, the hospital industry consolidated; we analyze the impact of this consolidation on health insurance take-up for different racial/ethnic minorities and income groups. We found that the hospital consolidation wave increased health insurance disparities along racial and income dimensions.
非西班牙裔白人比大多数种族/族裔少数群体更有可能拥有医疗保险，这种差异在20世纪90年代有所扩大。同样，较富裕的美国人比穷人更有可能拥有医疗保险，这种差异在20世纪90年代也有所增加。本文探讨了供应商竞争在加剧保险覆盖范围这些差异方面所起的作用。在20世纪90年代，医院行业进行了整合；我们分析了这种整合对不同种族/族裔少数群体和收入群体医疗保险参保率的影响。我们发现，医院整合浪潮加剧了种族和收入层面的医疗保险差异。
