Black J T
Inquiry. 1986 Summer;23(2):209-12.
Monheit, Hagan, Berk, and Farley, in an earlier issue of this journal, made a major contribution to our understanding of health system problems of access and uncompensated care by correcting the widespread misimpression that lack of health insurance coverage is predominantly related to unemployment. Their research, based on the 1977 National Medical Care Expenditure Survey, indicated that 75% of the uninsured were workers and their dependents. The authors observed that industry, unionization, full- or part-time status, and geographic region are among the interrelated factors that influence the availability of employment-related health insurance coverage. This comment augments their findings through an examination of U.S. employment trends since 1977 as well as projections of future employment.
莫内特、哈根、伯克和法利在本刊的上一期发表了一篇文章，对我们理解医疗系统中获取医疗服务和未获补偿医疗的问题做出了重大贡献。他们纠正了一个普遍存在的错误观念，即缺乏医疗保险主要与失业有关。他们基于1977年全国医疗支出调查的研究表明，75%未参保者是工人及其家属。作者指出，行业、工会组织、全职或兼职状态以及地理区域是影响与就业相关医疗保险覆盖范围的相互关联因素。本评论通过审视1977年以来美国的就业趋势以及对未来就业的预测，对他们的研究结果进行了补充。
