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通过《平价医疗法案》减少刑满释放人员的健康差距:促进改善医疗保健服务可及性并与综合医疗建立联系。

Reducing Ex-offender Health Disparities through the Affordable Care Act: Fostering Improved Health Care Access and Linkages to Integrated Care.

作者信息

Ejike-King Lacreisha, Dorsey Rashida

机构信息

U.S. Department of Health and Human Services, Office of Minority Health, 1101 Wootton Parkway Suite 600, Rockville, MD 20852, USA.

出版信息

AIMS Public Health. 2014 Apr 18;1(2):76-83. doi: 10.3934/publichealth.2014.2.76. eCollection 2014.

Abstract

Despite steadily declining incarceration rates overall, racial and ethnic minorities, namely African Americans, Latinos, and American Indians and Alaska Natives, continue to be disproportionately represented in the justice system. Ex-offenders commonly reenter communities with pressing health conditions but encounter obstacles to accessing care and remaining in care. The lack of health insurance coverage and medical treatment emerge as the some of the most reported reentry health needs and may contribute to observed health disparities. Linking ex-offenders to care and services upon release increases the likelihood that they will remain in care and practice successful disease management. The Affordable Care Act (ACA) offers opportunities to address health disparities experienced by the reentry population that places them at risk for negative health outcomes and recidivism. Coordinated efforts to link ex-offenders with these newly available opportunities may result in a trajectory for positive health and overall well-being as they reintegrate into society.

摘要

尽管总体监禁率在稳步下降,但少数族裔,即非裔美国人、拉丁裔、美国印第安人和阿拉斯加原住民,在司法系统中的占比仍然过高。刑满释放人员通常带着紧迫的健康问题重新融入社区,但在获得医疗护理和持续接受护理方面遇到障碍。缺乏医疗保险覆盖和医疗治疗成为刑满释放人员最常报告的重新融入社会后的健康需求,可能导致观察到的健康差距。在刑满释放时将他们与护理和服务联系起来,增加了他们持续接受护理并成功进行疾病管理的可能性。《平价医疗法案》(ACA)提供了机会,以解决刑满释放人员所经历的健康差距,这些差距使他们面临负面健康结果和再次犯罪的风险。将刑满释放人员与这些新出现的机会联系起来的协调努力,可能会在他们重新融入社会时带来积极健康和总体福祉的轨迹。

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