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少数族裔老年成年人对医疗补助计划改革对牙科护理可及性影响的看法。

Racial/Ethnic Minority Older Adults' Perspectives on Proposed Medicaid Reforms' Effects on Dental Care Access.

作者信息

Northridge Mary E, Estrada Ivette, Schrimshaw Eric W, Greenblatt Ariel P, Metcalf Sara S, Kunzel Carol

机构信息

Mary E. Northridge and Ariel P. Greenblatt are with the Department of Epidemiology & Health Promotion, New York University College of Dentistry, New York. Ivette Estrada and Carol Kunzel are with the Section of Population Oral Health, Columbia University College of Dental Medicine, New York. Eric W. Schrimshaw is with the Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York. Sara S. Metcalf is with the Department of Geography, State University of New York, Buffalo.

出版信息

Am J Public Health. 2017 May;107(S1):S65-S70. doi: 10.2105/AJPH.2016.303640. Epub 2017 Jun 22.

Abstract

To examine how proposed Medicaid reform plans are experienced by racial/ethnic minority older adults and what the implications are for their ability to access dental care through Medicaid, from 2013 to 2015 we conducted focus groups in northern Manhattan, New York, New York, among African American, Dominican, and Puerto Rican adults aged 50 years and older. Participants reported problems with affording copayments for care, complicated health and social issues, the need for vision and dental care close to home, and confusion about and stigmatization with Medicaid coverage. Federal, state, and local public health agencies can help by clarifying and simplifying Medicaid plans and sustaining benefits that older adults need to live healthy and dignified lives.

摘要

为了研究种族/族裔少数群体的老年人如何看待拟议的医疗补助改革计划,以及这些计划对他们通过医疗补助获得牙科护理的能力有何影响,2013年至2015年期间,我们在纽约曼哈顿北部对年龄在50岁及以上的非裔美国人、多米尼加人和波多黎各成年人开展了焦点小组访谈。参与者报告了在支付护理自付费用方面存在问题、面临复杂的健康和社会问题、需要在离家较近的地方获得视力和牙科护理,以及对医疗补助覆盖范围感到困惑和受到污名化。联邦、州和地方公共卫生机构可以通过澄清和简化医疗补助计划以及维持老年人健康和有尊严生活所需的福利来提供帮助。

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