Chou Chia-Hung, Tulolo Amanda, Raver Eli W, Hsu Chiu-Hsieh, Young Gary
J Health Care Poor Underserved. 2013 Aug;24(3):1353-63. doi: 10.1353/hpu.2013.0131.
Significant race-related disparities persist in the U.S. regarding access to health services. Initiatives to reduce such disparities have often focused on expanding health insurance coverage for vulnerable populations. Based on our analysis of 2010 data from the National Health Interview Survey, we found that race is a much greater factor than insurance status in accounting for disparities in access to health services. Expanding health insurance through reform initiatives such as the Patient Protection and Affordable Care Act may have relatively little impact on reducing racial and ethnic disparities in the US.
在美国，在获得医疗服务方面，与种族相关的显著差异依然存在。减少此类差异的举措通常侧重于扩大弱势群体的医疗保险覆盖范围。基于我们对2010年全国健康访谈调查数据的分析，我们发现，在解释获得医疗服务的差异方面，种族比保险状况是一个重要得多的因素。通过《患者保护与平价医疗法案》等改革举措扩大医疗保险，可能对减少美国的种族和族裔差异影响相对较小。
