Berenson Julia, Doty Michelle M, Abrams Melinda K, Shih Anthony
Commonwealth Fund, USA.
Issue Brief (Commonw Fund). 2012 May;11:1-18.
In the United States, uninsured and low-income adults experience substantial health and health care inequities when compared with insured and higher-income individuals. A new analysis of the Commonwealth Fund 2010 Biennial Health Insurance Survey demonstrates that when low-income adults have both health insurance and a medical home, they are less likely to report cost-related access problems, more likely to be up-to-date with preventive screenings, and report greater satisfaction with the quality of their care. Moreover, the gaps in health care between them and higher-income populations are significantly reduced. The Affordable Care Act includes numerous provisions that will significantly expand health insurance coverage, especially to low-income patients, as well as provisions to promote medical homes. Along with supporting the full implementation of coverage expansions, it will be important for public and private stakeholders to create opportunities that enhance access to medical homes for vulnerable populations.
在美国，与有保险和高收入的人群相比，未参保的低收入成年人面临着严重的健康和医疗保健不平等问题。对联邦基金2010年双年健康保险调查的一项新分析表明，当低收入成年人同时拥有健康保险和医疗之家时，他们报告与费用相关的就医问题的可能性较小，更有可能及时进行预防性筛查，并对其医疗质量表示更高的满意度。此外，他们与高收入人群之间的医疗保健差距也显著缩小。《平价医疗法案》包含众多条款，这些条款将大幅扩大医疗保险覆盖范围，尤其是覆盖低收入患者，同时还包括促进医疗之家的条款。在支持全面实施覆盖范围扩大的同时，公共和私人利益相关者创造机会，增强弱势群体获得医疗之家服务的机会将非常重要。
