University of South Carolina School of Medicine Greenville.
Olive View, UCLA Medical Center.
Milbank Q. 2023 Dec;101(4):1009-1032. doi: 10.1111/1468-0009.12665. Epub 2023 Jul 26.
Policy Points Models for access to care for uninsured immigrant children that mitigate structural and sociopolitical barriers to inclusive health care include funding structures (e.g., state-sponsored coverage) and care delivery systems (e.g., federally qualified health centers,). Although the quintessential model of access to care necessitates health coverage for all children regardless of immigration status or date of United States entry, incremental policy change may more realistically and efficiently advance equitable access to high-quality health care. Intentional advocacy efforts should prioritize achievable goals that are grounded in data, are attentive to the sociopolitical milieu, are inclusive of diverse perspectives, and would meaningfully impact health care access and outcomes.
政策要点
为无保险移民儿童提供获得医疗服务的模式,减轻了获得包容性医疗保健方面的结构性和社会政治障碍,其中包括供资结构(例如,国家资助的保险)和医疗服务提供系统(例如,联邦合格的医疗中心)。尽管获得医疗服务的理想模式需要为所有儿童提供健康保险,无论其移民身份或进入美国的日期如何,但渐进式政策变革可能更现实和有效地促进公平获得高质量医疗保健。有目的的宣传工作应优先考虑基于数据、关注社会政治环境、包容各种观点、并将对医疗保健的获得和结果产生有意义影响的可实现目标。