亚裔、夏威夷原住民和太平洋岛民医疗补助计划参保者获取所需医疗服务的能力不足。

Inability to Access Needed Medical Care Among Asian American, Native Hawaiian, and Pacific Islander Medicaid Enrollees.

机构信息

Author Affiliations: Department of Health Law, Policy and Management, Boston University School of Public Health Boston, Massachusetts (Dr Nguyen and Mr Yeh); Department of Health Policy and Management, Fielding School of Public Health, University of California (Drs Oronce and Ponce); UCLA Center for Health Policy Research (Drs Oronce and Ponce); Filipinx/a/o Community Health Association (Drs Oronce and Ponce, Mr Adia); Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at UCLA (Dr Oronce); Department of Medicine, VA Greater Los Angeles Healthcare System, Los Angeles, California (Dr Oronce); and Department of Health Policy and Management, University of California, Berkeley, California (Mr Adia).

出版信息

J Ambul Care Manage. 2024;47(2):96-103. doi: 10.1097/JAC.0000000000000489. Epub 2024 Jan 19.

DOI:10.1097/JAC.0000000000000489

PMID:38335049

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10940179/

Abstract

We examined self-reported inability to access to needed medical care and reasons for not accessing medical care among US-representative adult Medicaid enrollees, disaggregated across 10 Asian American, Native Hawaiian, and Pacific Islander ethnic groups. Chinese (-4.54 percentage points [PP], P < .001), Other Asian (-4.42 PP, P < .001), and Native Hawaiian (-4.36 PP, P < .001) enrollees were significantly less likely to report being unable to access needed medical care compared with non-Hispanic White enrollees. The most common reason reported was that a health plan would not approve, cover, or pay for care. Mitigating inequities may require different interventions specific to certain ethnic groups.

摘要

我们考察了美国成年医疗补助计划参保者中，自我报告无法获得所需医疗服务以及无法获得医疗服务的原因，这些参保者按照 10 个亚裔美国人、夏威夷原住民和太平洋岛民族群进行了细分。与非西班牙裔白人参保者相比，中国裔（减少 4.54 个百分点[PP]，P<.001）、其他亚裔（减少 4.42 个百分点[PP]，P<.001）和夏威夷原住民（减少 4.36 个百分点[PP]，P<.001）参保者报告说无法获得所需医疗服务的可能性要小得多。报告的最常见原因是健康计划不批准、不承保或不支付医疗费用。减轻不平等现象可能需要针对特定族群的不同干预措施。