Samra Shamsher, Pelayo Elizabeth, Richman Mark, McCollough Maureen, Taira Breena R
Department of Emergency Medicine, Olive View-UCLA Medical Center, Sylmar, California.
Health Equity. 2019 May 2;3(1):186-192. doi: 10.1089/heq.2018.0071. eCollection 2019.
Emergency physicians are witnesses to the impact of socioeconomic determinants of health on physical and psychiatric illness. Understanding structural barriers to the right to health (RTH) serves as a foundation for interventions to promote health equity. This study was performed to determine self-described barriers to fulfillment of the RTH among a public emergency department (ED) patient population. A convenience sample survey between June and August 2014 of 200 patients in public ED assessing demographic characteristics and desired assistance with 36 barriers to fulfillment of the RTH. There was a high demand for specialty care (91%, 182/200), access to primary care (87.5%, 175/200), and access to health insurance (86%, 172/200). Undocumented residents were significantly more likely to cite health insurance as the most important area for assistance (=0.04). Despite implementation of Affordable Care Act, access to health care and insurance were still perceived as the most important barriers among underserved patient populations, particularly undocumented groups.
急诊医生见证了健康的社会经济决定因素对身体和精神疾病的影响。了解健康权（RTH）的结构性障碍是促进健康公平干预措施的基础。本研究旨在确定公立急诊科（ED）患者群体中自我描述的实现健康权的障碍。2014年6月至8月，对200名公立急诊科患者进行了便利抽样调查，评估人口统计学特征以及实现健康权的36项障碍所需的援助。对专科护理（91%，182/200）、获得初级保健（87.5%，175/200）和获得医疗保险（86%，172/200）的需求很高。无证居民将医疗保险视为最重要的援助领域的可能性显著更高（=0.04）。尽管实施了《平价医疗法案》，但获得医疗保健和保险仍然被视为服务不足患者群体，特别是无证群体中最重要的障碍。
