Hubbell F A, Waitzkin H, Mishra S I, Dombrink J, Chavez L R
Department of Medicine, University of California, Irvine.
West J Med. 1991 Apr;154(4):414-7.
To determine local access to medical care among Latinos, we conducted telephone interviews with residents of Orange County, California. The survey replicated on a local level the national access surveys sponsored by the Robert Wood Johnson Foundation. We compared access among Latino citizens of the United States (including permanent legal residents), undocumented Latinos, and Anglos, and analyzed predictors of access. Among the sample of 958 respondents were 137 Latino citizens, 54 undocumented Latinos, and 680 Anglos. Compared with Anglos, Latino citizens and undocumented immigrants had less access to medical care by all measures used in the survey. Although undocumented Latinos were less likely than Latino citizens to have health insurance, by most other measures their access did not differ significantly. By multivariate analysis, health insurance status and not ethnicity was the most important predictor of access. Because access to medical care is limited for both Latino citizens and undocumented immigrants, policy proposals to improve access for Latinos should consider current barriers faced by these groups and local differences in access to medical care.
为了确定拉丁裔人群获得当地医疗服务的情况，我们对加利福尼亚州奥兰治县的居民进行了电话访谈。该调查在地方层面重复了由罗伯特·伍德·约翰逊基金会发起的全国性医疗服务可及性调查。我们比较了美国拉丁裔公民（包括永久合法居民）、无证拉丁裔和盎格鲁人之间获得医疗服务的情况，并分析了影响可及性的因素。在958名受访者样本中，有137名拉丁裔公民、54名无证拉丁裔和680名盎格鲁人。与盎格鲁人相比，通过调查中使用的所有衡量标准，拉丁裔公民和无证移民获得医疗服务的机会更少。尽管无证拉丁裔比拉丁裔公民拥有医疗保险的可能性更小，但在大多数其他衡量标准下，他们获得医疗服务的机会没有显著差异。通过多变量分析，医疗保险状况而非种族是获得医疗服务最重要的预测因素。由于拉丁裔公民和无证移民获得医疗服务的机会都有限，改善拉丁裔人群医疗服务可及性的政策建议应考虑这些群体当前面临的障碍以及当地在获得医疗服务方面的差异。
