Rocha C J
College of Social Work, University of Tennessee, Knoxville 37996-3333, USA.
Health Soc Work. 1996 Feb;21(1):16-22. doi: 10.1093/hsw/21.1.16.
This article determines to what extent people with and without health care insurance use public health care facilities and various health care services. A descriptive study analyzed the characteristics of 6,298 patients from four county-funded primary health care clinics. The patients were overwhelmingly poor regardless of insurance status. High cost-sharing requirements, coupled with larger families and low wages, may be causing some people with insurance to use public clinics. Implications for social work policy and practice are discussed.
本文旨在确定有医疗保险和没有医疗保险的人群在使用公共医疗设施及各类医疗服务方面的差异程度。一项描述性研究分析了来自四家县级资助的初级保健诊所的6298名患者的特征。无论保险状况如何，这些患者绝大多数都很贫困。高额的费用分摊要求，再加上家庭规模较大和工资较低，可能导致一些有保险的人也使用公共诊所。文中还讨论了对社会工作政策和实践的启示。
