Marx J L, Thach A B, Grayson G, Lowry L P, Lopez P F, Lee P P
Department of Ophthalmology, University of Southern California School of Medicine, Doheny Eye Institute, Los Angeles 90033, USA.
Ophthalmology. 1996 May;103(5):847-51. doi: 10.1016/s0161-6420(96)30604-0.
To determine the effect on ophthalmology clinic utilization at a major public inner-city hospital of California Proposition 187 and the debate surrounding its passage. Proposition 187 was a statewide referendum passed by 63% of the electorate in the November 1994 election that would restrict social services to undocumented immigrants and require providers to report them to immigration authorities.
The ophthalmology clinic volume at the Los Angeles County/ University of Southern California Medical Center was analyzed from October 1 to December 31, 1993 and 1994.
New walk-in patients significantly decreased (P < 0.001) for a 2-month period around the election, but returned to baseline levels in December 1994. The new patient cancellation and no show rate was not affected. No change in return patient behavior was noted for general and specialty clinics.
Proposition 187 may have caused a statistically significant decrease in new walk-ins to the ophthalmology clinics during a 2-month period surround the November 1994 election, but it had no measurable effect on other indicators of utilization. In addition, utilization rates returned to baseline after the implementation of Proposition 187 was stayed by the judicial system, and concern that providers would be required to report undocumented immigrants to authorities was alleviated.
确定加利福尼亚州第187号提案及其围绕其通过的辩论对一家位于市中心的大型公立医院眼科门诊利用情况的影响。第187号提案是一项全州范围的公民投票，在1994年11月的选举中，63%的选民通过了该提案，该提案将限制向无证移民提供社会服务，并要求医疗服务提供者向移民当局报告他们。
分析了1993年10月1日至12月31日以及1994年同期洛杉矶县/南加州大学医学中心的眼科门诊量。
在选举前后的两个月期间，新的未经预约而来的患者显著减少（P<0.001），但在1994年12月恢复到基线水平。新患者取消预约和未到诊率未受影响。普通诊所和专科诊所复诊患者的行为没有变化。
第187号提案可能在1994年11月选举前后的两个月期间导致眼科诊所新的未经预约而来的患者数量在统计学上显著减少，但对其他利用指标没有可衡量的影响。此外，在司法系统搁置第187号提案的实施后，利用率恢复到基线水平，并且提供者将被要求向当局报告无证移民的担忧也得到缓解。
