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女性医疗保健中的变化因素与不断变化的需求。

Changing factors and changing needs in women's health care.

作者信息

Leslie L A, Swider S M

出版信息

Nurs Clin North Am. 1986 Mar;21(1):111-23.

PMID:3513129
Abstract

The aforementioned social trends affecting women, including women in poverty, women in the labor force, and elderly women, are all ultimately related to problems of access to health care. In almost every age group, women use more health and medical services. Women are hospitalized more often, although their stays in hospitals tend to be shorter. Women also make more visits to health care providers for preventive health care, such as examinations and dental care. Access to care, however, is tied to ability to pay for the care. Medicaid payments for medical care are related to eligibility criteria in each state. Recent cuts in federal programs targeted eligibility for welfare and Medicaid. In 1982, 725,000 welfare recipients were declared ineligible. Given the earlier discussion of the predominance of women among those labeled poor in this country and the fact that two thirds of Medicaid recipients are women, these cutbacks have serious implications for women's health. Women are less likely to have medical insurance than men. Insurance coverage as a benefit is least likely to be offered in those areas where women work: part-time employment, small businesses, and manufacturing industries. Insurance eligibility is often dependent on a woman's marital status, despite the fact that 41.5 per cent of all American women are not spousal dependents. Insurance companies frequently adjust premiums for sex, age, income, race, and workforce characteristics, a policy which works against women. As the field of women's health expands and receives more emphasis, the data reflecting the experiences of large groups of women will have to be collected and analyzed ever more carefully. Information collected should include physiologic, psychosocial, and economic factors that together affect the health status of women. These data may then be used to guide health policy decision making, as well as provide a basis for health promotion and disease prevention interventions with individual clients.

摘要

上述影响女性的社会趋势,包括贫困女性、职场女性和老年女性,最终都与获得医疗保健的问题相关。几乎在每个年龄组中,女性使用的健康和医疗服务都更多。女性住院的频率更高,尽管她们在医院的停留时间往往较短。女性也更频繁地前往医疗保健提供者处接受预防性医疗保健,如检查和牙科护理。然而,获得医疗服务与支付医疗费用的能力相关。各州医疗补助计划的支付与资格标准有关。最近联邦项目削减了针对福利和医疗补助资格的规定。1982年,72.5万福利领取者被宣布不符合资格。鉴于前文讨论过本国被列为贫困人口的人群中女性占多数,以及三分之二的医疗补助领取者为女性这一事实,这些削减对女性健康有着严重影响。女性比男性更不可能拥有医疗保险。作为一项福利,保险覆盖在女性工作的领域最不可能提供:兼职工作、小企业和制造业。保险资格往往取决于女性的婚姻状况,尽管全美41.5%的女性并非配偶的受抚养人。保险公司经常根据性别、年龄、收入、种族和劳动力特征调整保费,这一政策对女性不利。随着女性健康领域的扩大并受到更多重视,反映大量女性经历的数据必须得到更仔细的收集和分析。收集的信息应包括共同影响女性健康状况的生理、心理社会和经济因素。这些数据随后可用于指导卫生政策决策,也可为针对个体客户的健康促进和疾病预防干预提供依据。

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