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实现癌症公平,提高所有拉丁裔人群的医疗保险可及性。

Achieving Cancer Equity by Improving Health Insurance Access for All Latinos.

机构信息

Oregon Health & Science University, Portland, OR, USA.

出版信息

J Prim Care Community Health. 2024 Jan-Dec;15:21501319241278874. doi: 10.1177/21501319241278874.

Abstract

Cancer is the top leading cause of death among Latino people. Lack of health insurance is a significant contributor to inadequate cancer detection and treatment. Despite healthcare policy expansions such as the Affordable Care Act, Latino people persistently maintain the highest uninsured rate among any ethnic and racial group in the US, especially among Latino individuals who are immigrants or part of a mixed immigration status household. Recognizing that immigration status is a critical factor in the ability of Latino community members to seek health insurance and access healthcare services, a few US states and the District of Columbia have implemented policies that have expanded coverage to children and adults regardless of immigration status. Expansion of Medicaid eligibility regardless of immigration status may significantly benefit Latino communities, however the facilitators and barriers to enrolling in these programs need to be evaluated to ensure reach and achieve health equity across the cancer control continuum for all Latinos.

摘要

癌症是导致拉丁裔人群死亡的首要原因。缺乏健康保险是导致癌症检测和治疗不足的一个重要因素。尽管《平价医疗法案》等医疗保健政策有所扩大,但拉丁裔人群在美国任何族裔和种族群体中,仍然保持着最高的无保险率,尤其是在移民或移民混合家庭状况的拉丁裔个人中。认识到移民身份是拉丁裔社区成员获得健康保险和医疗服务能力的关键因素,美国的几个州和哥伦比亚特区已经实施了政策,扩大了覆盖范围,涵盖了儿童和成年人,无论其移民身份如何。扩大医疗补助资格,无论其移民身份如何,都可能使拉丁裔社区受益匪浅,然而,需要评估这些项目的参与促进因素和障碍,以确保所有拉丁裔人群在癌症控制连续体中都能获得和实现健康公平。

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