Gilbert S K
J Natl Med Assoc. 1986 Jul;78(7):663-5.
Despite chronic illness that requires routine medical follow-up as well as occasional acute care and hospitalizations, many persons with sickle cell disease (SCD) are not getting the care that they need. The primary reason for lack of proper care is due to the patients' lack of health insurance coverage. This paper will examine the problem of health insurance coverage among persons with chronic illnesses using SCD as a model. It is speculated by the author that persons who suffer from other chronic illnesses may also experience similar problems in obtaining health coverage. Supporting data for this report are derived from a survey on the health insurance status of a randomly selected group of SCD patients treated at the Howard University Center for Sickle Cell Disease. This survey revealed that 20 percent of 70 adult and pediatric patient respondents had no form of health insurance coverage.
尽管患有慢性疾病需要定期医疗随访以及偶尔的急症护理和住院治疗，但许多镰状细胞病（SCD）患者并未得到他们所需的护理。缺乏适当护理的主要原因是患者缺乏医疗保险覆盖。本文将以SCD为模型，研究慢性病患者的医疗保险覆盖问题。作者推测，患有其他慢性疾病的人在获得医疗保险方面可能也会遇到类似问题。本报告的支持数据来自对霍华德大学镰状细胞病中心随机挑选的一组SCD患者的医疗保险状况调查。该调查显示，70名成年和儿科患者受访者中有20%没有任何形式的医疗保险覆盖。
