改善美国无证移民获得医疗保健服务的机会。
Improving access to health care for undocumented immigrants in the United States.
作者信息
Wallace Steven P, Rodriguez Michael, Padilla-Frausto Imelda, Arredondo Armando, Orozco Emanuel
机构信息
School of Public Health, Department of Community Health Sciences, University of California, Los Angeles, USA.
Center for Health Policy Research, University of California, Los Angeles, USA.
出版信息
Salud Publica Mex. 2013;55 Suppl 4:S508-14. doi: 10.21149/spm.v55s4.5156.
OBJECTIVE
To identify policies that increase access to health care for undocumented Mexican immigrants.
MATERIALS AND METHODS
Four focus groups (n=34 participants) were conducted with uninsured Mexican immigrants in Los Angeles, California. The feasibility and desirability of different policy proposals for increasing access were discussed by each group.
RESULTS
Respondents raised significant problems with policies including binational health insurance, expanded employer-provided health insurance, and telemedicine. The only solution with a consensus that the change would be feasible, result in improved access, and they had confidence in was expanded access to community health centers (CHC's).
CONCLUSIONS
Given the limited access to most specialists at CHC's and the continued barriers to hospital care for those without health insurance, the most effective way of improving the complete range of health services to undocumented immigrants is through immigration reform that will bring these workers under the other health care reform provisions.
目的
确定能增加无证墨西哥移民获得医疗保健机会的政策。
材料与方法
在加利福尼亚州洛杉矶对未参保的墨西哥移民开展了四个焦点小组（共34名参与者）。每个小组讨论了不同增加医疗保健机会政策提案的可行性和可取性。
结果
受访者对包括双边医疗保险、扩大雇主提供的医疗保险和远程医疗在内的政策提出了重大问题。唯一达成共识的解决方案是扩大社区卫生中心（CHC）的服务范围，认为这一改变可行、能改善医疗保健机会且他们对此有信心。
结论
鉴于社区卫生中心多数专科医生的可及性有限，且无医疗保险者在获得医院护理方面仍存在障碍，改善无证移民全面医疗服务的最有效方式是通过移民改革，使这些工人纳入其他医疗保健改革条款的覆盖范围。
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