Su Dejun, Pratt William, Stimpson Jim P, Wong Rebeca, Pagán José A
Center for Reducing Health Disparities, College of Public Health, University of Nebraska Medical Center, 984340 Nebraska Medical Center, Omaha, NE, 68198-4340, USA,
J Immigr Minor Health. 2014 Aug;16(4):607-12. doi: 10.1007/s10903-013-9828-2.
Using data from the 2008 Cross-Border Utilization of Health Care Survey, we examined the relationship between United States (US) health insurance coverage plans and the use of health care services in Mexico by US residents of the US-Mexico border region. We found immigrants were far more likely to be uninsured than their native-born counterparts (63 vs. 27.8 %). Adults without health insurance coverage were more likely to purchase medications or visit physicians in Mexico compared to insured adults. However, adults with Medicaid coverage were more likely to visit dentists in Mexico compared to uninsured adults. Improving health care access for US residents in the southwestern border region of the country will require initiatives that target not only providing coverage to the large uninsured population but also improving access to health care services for the large underinsured population.
利用2008年跨境医疗保健利用情况调查的数据,我们研究了美国医疗保险覆盖计划与美墨边境地区美国居民在墨西哥使用医疗保健服务之间的关系。我们发现,移民比本土出生的人更有可能没有保险(63%对27.8%)。与有保险的成年人相比,没有医疗保险覆盖的成年人更有可能在墨西哥购买药品或看医生。然而,与没有保险的成年人相比,有医疗补助覆盖的成年人更有可能在墨西哥看牙医。改善该国西南边境地区美国居民获得医疗保健的机会,不仅需要采取措施为大量未参保人群提供保险,还需要改善大量保险不足人群获得医疗保健服务的机会。