Kent State University, Kent, OH, USA.
Adm Policy Ment Health. 2013 Sep;40(5):364-70. doi: 10.1007/s10488-012-0428-6.
Despite federal legislation to equalize healthcare for children with limited English language proficiency, some state healthcare agencies and programs fall short in providing children's linguistic services for mental healthcare. While some states have been aggressive in passing cultural and linguistic laws aimed at providing protection for children, other states have not, limiting children of all ages to potential substandard care. This research uses state-level data and multivariate regression analysis to explore why some states are adopting these laws, whereas others are not. We find two dissimilar forces with unrelated goals must work in tandem to bring about policy change-the desire of civil rights and liberty groups to ensure equality in the delivery of healthcare services, and the desire of state legislature to reduce healthcare costs.
尽管联邦立法要求平等对待英语能力有限的儿童的医疗保健，但一些州的医疗保健机构和计划在为儿童提供精神保健的语言服务方面存在不足。虽然有些州积极通过文化和语言法律，旨在为儿童提供保护，但其他州则没有，限制了所有年龄段的儿童获得潜在的低标准护理。本研究使用州级数据和多元回归分析来探讨为什么有些州正在通过这些法律，而有些州则没有。我们发现，必须有两种不同的、目标无关的力量协同工作，才能带来政策变化——民权和自由团体希望确保医疗服务提供的平等，以及州立法机构希望降低医疗保健成本。
