Alberto Cinthya K, Kemmick Pintor Jessie, McKenna Ryan M, Roby Dylan H, Ortega Alexander N
Drexel University, Philadelphia, PA, USA.
University of Maryland, College Park, MD, USA.
Glob Pediatr Health. 2019 Feb 10;6:2333794X19828356. doi: 10.1177/2333794X19828356. eCollection 2019.
The aim of this study was to examine disparities in provider-related barriers to health care by race and ethnicity of children in California after the implementation of the Affordable Care Act (ACA). California Health Interview Survey child (0-11 years) survey data from 2014 to 2016 were used to conduct multivariable logistic regressions to estimate the odds of reporting any provider-related barrier, trouble finding a doctor, child's health insurance not accepted by provider, and child not being accepted as a new patient. Compared with parents of non-Latino white children, parents of non-Latino black, Latino, Asian, and other/multiracial children were not more likely to report experiencing any of the 4 provider-related barrier measures. The associations between children's race and ethnicity and parents' reports of provider-related barriers were nonsignificant. Findings demonstrate that there are no significant racial/ethnic differences in provider-related barriers to health care for children in California in the post-ACA era.
本研究的目的是在《平价医疗法案》（ACA）实施后，考察加利福尼亚州儿童因种族和族裔不同而在与医疗服务提供者相关的医疗保健障碍方面存在的差异。利用2014年至2016年加利福尼亚州健康访谈调查中儿童（0至11岁）的调查数据进行多变量逻辑回归，以估计报告任何与医疗服务提供者相关的障碍、找医生困难、医疗服务提供者不接受儿童的健康保险以及儿童不被接受为新患者的几率。与非拉丁裔白人儿童的父母相比，非拉丁裔黑人、拉丁裔、亚裔以及其他/多种族儿童的父母报告经历这4种与医疗服务提供者相关的障碍措施的可能性并不更高。儿童的种族和族裔与父母报告的与医疗服务提供者相关的障碍之间的关联并不显著。研究结果表明，在ACA时代之后，加利福尼亚州儿童在与医疗服务提供者相关的医疗保健障碍方面不存在显著的种族/族裔差异。
