Mayster V, Waitzkin H, Hubbell F A, Rucker L
Outreach Programs, Santa Rosa Memorial Hospital, CA 95402.
J Health Care Poor Underserved. 1993;4(3):254-67. doi: 10.1353/hpu.2010.0182.
Because no national health program assures entitlement to basic services, advocates must cope with barriers to access on the local level. The authors report several strategies that a community-based coalition has used to improve indigent care in one county. Research strategies have involved short-term investigations of barriers to needed services. Political strategies have attempted to improve the county government's administrative procedures and financial support of services for the poor. Legal strategies have involved the participation of attorneys who represent clients unable to receive care. Although such advocacy efforts do not guarantee access, they can substantially improve the availability of local services.
由于没有国家卫生项目能确保人们有权获得基本服务，倡导者们必须应对地方层面上获取服务的障碍。作者报告了一个社区联盟在某县用于改善贫困人群医疗服务的几种策略。研究策略包括对所需服务获取障碍的短期调查。政治策略试图改进县政府的行政程序以及对穷人服务的财政支持。法律策略涉及代表无法获得医疗服务的当事人的律师的参与。尽管此类倡导工作不能保证获得服务，但它们能大幅提高地方服务的可获得性。
