Levey L A, MacDowell N M, Levey S
Am J Public Health. 1986 Aug;76(8):1000-3. doi: 10.2105/ajph.76.8.1000.
Responses to a survey of 637 Iowa children under age six years from Aid to Families with Dependent Children (AFDC) households was conducted through telephone interviews with parents and compared to a second sample of children in 760 randomly sampled households. Utilization of health services for children in the AFDC sample was similar to that of nonpoverty children and superior to that of other poverty children. Irrespective of Medicaid coverage, poverty children's health care differed from that of nonpoverty children in the following ways: less well care from a private practice or pediatrician, seeing the same health professional at each well visit less often, receiving immunizations at the same place as source of well care, examination by a physician at the most recent well visit, sick care at the same place as well care.
对来自抚养儿童家庭援助计划(AFDC)家庭的637名爱荷华州六岁以下儿童进行了一项调查,通过与家长进行电话访谈来获取信息,并将其与760个随机抽样家庭中的另一组儿童样本进行比较。AFDC样本中儿童的医疗服务利用率与非贫困儿童相似,且优于其他贫困儿童。无论是否有医疗补助覆盖,贫困儿童的医疗保健与非贫困儿童在以下方面存在差异:从私人诊所或儿科医生处获得的保健服务较少,每次健康检查时看同一位医疗专业人员的频率较低,在与健康检查相同的地点接受免疫接种,在最近一次健康检查时由医生进行检查,在与健康检查相同的地点接受疾病护理。