低收入且英语水平有限的成年人对医疗服务的利用情况。
Health services utilization by low-income limited English proficient adults.
作者信息
Graham Elinor A, Jacobs Troy A, Kwan-Gett Tao Sheng, Cover Jane
机构信息
Department of Pediatrics, University of Washington, Harborview Medical Center, Seattle, WA 98104, USA.
出版信息
J Immigr Minor Health. 2008 Jun;10(3):207-17. doi: 10.1007/s10903-007-9069-3.
OBJECTIVES
We evaluated the health care utilization of limited English proficiency (LEP) compared to English proficient (EP) adults with the same health insurance (Medicaid managed care) and full access to professional medical interpreters.
METHODS
Health care utilization over two years was compared for 567 LEP and 1162 EP adults. Multivariate analysis controlled for age, gender, months enrolled in Medicaid and morbidity.
RESULTS
LEP compared to EP subjects were enrolled longer and more continuously in Medicaid, were 94% more likely to use primary care and 78% less likely to use the emergency department. Specialty visits and hospitalization did not differ.
CONCLUSIONS
When language barriers are reduced and health insurance coverage is the same, LEP patients show ambulatory health care utilization associated with lower cost and more access to preventive care through establishing a primary care home.
目的
我们评估了英语水平有限（LEP）的成年人与英语熟练（EP）的成年人在拥有相同医疗保险（医疗补助管理式医疗）且能充分使用专业医疗口译员的情况下的医疗保健利用情况。
方法
对567名LEP成年人和1162名EP成年人两年内的医疗保健利用情况进行了比较。多变量分析控制了年龄、性别、参加医疗补助的月数和发病率。
结果
与EP受试者相比，LEP受试者参加医疗补助的时间更长且更持续，使用初级保健的可能性高94%，使用急诊科的可能性低78%。专科就诊和住院情况没有差异。
结论
当语言障碍减少且医疗保险覆盖相同时，LEP患者通过建立初级保健之家，显示出与低成本和更多预防性保健机会相关的门诊医疗保健利用情况。
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