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美国边境居民在墨西哥的未参保、保险不足及医疗保健利用情况

Uninsurance, underinsurance, and health care utilization in Mexico by US border residents.

作者信息

Su Dejun, Pratt William, Stimpson Jim P, Wong Rebeca, Pagán José A

机构信息

Center for Reducing Health Disparities, College of Public Health, University of Nebraska Medical Center, 984340 Nebraska Medical Center, Omaha, NE, 68198-4340, USA,

出版信息

J Immigr Minor Health. 2014 Aug;16(4):607-12. doi: 10.1007/s10903-013-9828-2.

DOI:10.1007/s10903-013-9828-2
PMID:23624848
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3796191/
Abstract

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.

摘要

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。

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本文引用的文献

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Acculturation and cross-border utilization of health services.文化适应和卫生服务的跨境使用。
J Immigr Minor Health. 2012 Aug;14(4):563-9. doi: 10.1007/s10903-011-9518-x.
2
Cross-border utilization of health care: evidence from a population-based study in south Texas.跨境医疗利用:来自德克萨斯州南部一项基于人群的研究证据。
Health Serv Res. 2011 Jun;46(3):859-76. doi: 10.1111/j.1475-6773.2010.01220.x. Epub 2010 Dec 15.
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Cross-border utilization of health care services by United States residents living near the Mexican border.居住在墨西哥边境附近的美国居民对医疗服务的跨境利用。
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Heading south: why Mexican immigrants in California seek health services in Mexico.向南而行:为何加利福尼亚州的墨西哥移民在墨西哥寻求医疗服务。
Med Care. 2009 Jun;47(6):662-9. doi: 10.1097/MLR.0b013e318190cc95.
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Cross-border purchase of medications and health care in a sample of residents of El Paso, Texas, and Ciudad Juarez, Mexico.德克萨斯州埃尔帕索市和墨西哥华雷斯城居民样本中的药品和医疗保健跨境购买情况。
J Natl Med Assoc. 2009 Feb;101(2):167-73. doi: 10.1016/s0027-9684(15)30831-2.
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Access to health care among Latinos of Mexican descent in colonias in two Texas counties.德克萨斯州两个县的边境定居点中墨西哥裔拉丁裔的医疗保健可及性。
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