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福利改革与老年移民的医疗保险覆盖范围:联邦和州医疗补助资格规定的作用

Welfare reform and elderly immigrants' health insurance coverage: the roles of federal and state medicaid eligibility rules.

作者信息

Nam Yunju

机构信息

School of Social Work, University at Buffalo, the State University of New York, USA.

出版信息

J Gerontol Soc Work. 2011 Nov;54(8):819-36. doi: 10.1080/01634372.2011.614679.

Abstract

Immigrants' access to federally-funded Medicaid became limited after welfare reform imposed restrictive noncitizen eligibility rules. This study used a representative sample from the Current Population Survey (N = 105,873) and state-level data to examine the effects of these policy changes on elderly immigrants. Triple difference-in-differences analyses show that federal restriction of eligibility had a significantly negative association with elderly immigrants' Medicaid coverage, and generous state eligibility had significantly positive relationships with Medicaid and any health insurance coverage. Findings indicate the important role of eligibility on elderly immigrants' health insurance coverage. Results call for social workers' actions to expand elderly immigrants' Medicaid eligibility.

摘要

在福利改革实施了严格的非公民资格规定后,移民获得联邦资助的医疗补助计划(Medicaid)的机会变得有限。本研究使用了当前人口调查的代表性样本(N = 105,873)和州层面的数据,来检验这些政策变化对老年移民的影响。三重差分分析表明,联邦资格限制与老年移民的医疗补助计划覆盖范围存在显著负相关,而宽松的州资格规定与医疗补助计划及任何医疗保险覆盖范围存在显著正相关。研究结果表明资格规定对老年移民医疗保险覆盖范围具有重要作用。研究结果呼吁社会工作者采取行动扩大老年移民的医疗补助计划资格。

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