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通过扩大医疗保险覆盖范围和安全网来改善医疗服务可及性:文献综述

Improving access through health insurance coverage and safety net expansion: a review of the literature.

作者信息

Roby Dylan H, Kominski Gerald F, Cameron Meghan E

机构信息

UCLA Center for Health Policy Research, 10960 Wilshire Blvd., Suite 1550, Los Angeles, California 90024, USA.

出版信息

Policy Brief UCLA Cent Health Policy Res. 2007 Aug(PB2007-10):1-6.

PMID:18030692
Abstract

Proposals to address the needs of uninsured Californians take one of two broadly different emphases: assuring that the uninsured have access to health services by expanding community health centers and clinics; or by extending health insurance coverage to those without it. This policy brief examines literature on the effect of expanding access to safety net health services versus extending health insurance coverage to those who are currently uninsured. Based on this examination of the literature and analysis of the 2005 California Health Interview Survey (CHIS 2005), we conclude that both approaches are necessary to address access problems faced by the uninsured and underserved.

摘要

满足未参保加州居民需求的提议主要有两种截然不同的侧重点

一是通过扩大社区健康中心和诊所来确保未参保者能够获得医疗服务;二是为未参保者提供医疗保险。本政策简报审视了有关扩大安全网医疗服务可及性与为当前未参保者提供医疗保险覆盖范围的效果的文献。基于对这些文献的审视以及对2005年加州健康访谈调查(CHIS 2005)的分析,我们得出结论,这两种方法对于解决未参保者和医疗服务不足者所面临的可及性问题都是必要的。

相似文献

1
Improving access through health insurance coverage and safety net expansion: a review of the literature.通过扩大医疗保险覆盖范围和安全网来改善医疗服务可及性:文献综述
Policy Brief UCLA Cent Health Policy Res. 2007 Aug(PB2007-10):1-6.
2
Changes in uncompensated pediatric ambulatory care visits for uninsured children among safety net providers after implementing a health insurance program for children of low-income families.为低收入家庭儿童实施医疗保险计划后,安全网提供者处未参保儿童的非补偿性儿科门诊就诊情况的变化。
J Public Health Manag Pract. 2009 Jul-Aug;15(4):E1-6. doi: 10.1097/PHH.0b013e31819aaabd.
3
Workers who decline employment-related health insurance.拒绝参加与工作相关的健康保险的员工。
Med Care. 2006 May;44(5 Suppl):I12-8. doi: 10.1097/01.mlr.0000208168.01349.f3.
4
Health and health care access among California women ages 50-64.加利福尼亚州50至64岁女性的健康状况及医疗保健可及性
Policy Brief UCLA Cent Health Policy Res. 2010 Feb(PB2010-1):1-8.
5
Who can participate in the California health benefit exchange? A profile of subsidy-eligible uninsured and individually insured.谁可以参与加利福尼亚州医保福利交换计划?符合补贴条件的未参保者和个人参保者概况。
Policy Brief UCLA Cent Health Policy Res. 2011 May(PB2011-3):1-8.
6
Job-based coverage drops for adults and children but public programs boost children's coverage.基于就业的保险覆盖范围在成人和儿童中下降,但公共项目提高了儿童的保险覆盖率。
Policy Brief UCLA Cent Health Policy Res. 2005 Feb(PB2005-1):1-8.
7
Switching health insurance and its effects on access to physician services.更换医疗保险及其对获得医生服务的影响。
Med Care. 2008 Oct;46(10):1055-63. doi: 10.1097/MLR.0b013e318187d8db.
8
Women's health insurance coverage in California.加利福尼亚州女性的医疗保险覆盖情况。
Policy Brief UCLA Cent Health Policy Res. 2006 Nov(PB2006-7):1-4.
9
Confirming insurance coverage in a telephone survey: evidence from the National Survey of America's families.在电话调查中确认保险覆盖情况:来自美国家庭全国调查的证据
Inquiry. 2000 Fall;37(3):317-27.
10
Managed care cost pressures threaten access for the uninsured.管理式医疗的成本压力威胁到未参保者的医保可及性。
Issue Brief Cent Stud Health Syst Change. 1999 Mar(19):1-6.

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Cureus. 2020 Aug 3;12(8):e9539. doi: 10.7759/cureus.9539.
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Access to Care and Cardiovascular Disease Prevention: A Cross-Sectional Study in 2 Latino Communities.获得医疗服务与心血管疾病预防:对两个拉丁裔社区的横断面研究
Medicine (Baltimore). 2015 Aug;94(34):e1441. doi: 10.1097/MD.0000000000001441.
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Becoming a patient-centered medical home: a 9-year transition for a network of Federally Qualified Health Centers.
成为以患者为中心的医疗之家:一个联邦合格健康中心网络的 9 年转型。
Ann Fam Med. 2013 May-Jun;11 Suppl 1(Suppl 1):S68-73. doi: 10.1370/afm.1547.
4
English language proficiency and geographical proximity to a safety net clinic as a predictor of health care access.英语水平和与医保定点诊所的地理接近程度是获得医疗保健的预测因素。
J Immigr Minor Health. 2011 Apr;13(2):260-7. doi: 10.1007/s10903-010-9425-6.
5
Beyond affordability: the impact of nonfinancial barriers on access for uninsured adults in three diverse communities.超出负担能力:三种不同社区中无保险成年人获得医疗服务的非财务障碍的影响。
J Community Health. 2010 Jun;35(3):240-8. doi: 10.1007/s10900-010-9230-0.