Billings J, Anderson G M, Newman L S
Health Research Program, New York University's Robert F. Wagner School of Public Service, USA.
Health Aff (Millwood). 1996 Fall;15(3):239-49. doi: 10.1377/hlthaff.15.3.239.
Disparities in health outcomes for low-income populations as documented by rates of preventable hospital admission remains large in the United States, even with the moderate expansion of Medicaid and efforts at the state and local levels to improve primary care services that began in the mid-1980s. These differences in outcome for rich and poor are not an isolated phenomenon of a few old and decaying Northeast urban centers but are documented in a broad range of urban areas. Much smaller differences are found in urban areas in Ontario, where universal coverage may help to reduce barriers to care.
在美国,即使自20世纪80年代中期开始适度扩大医疗补助计划,并在州和地方层面努力改善初级医疗服务,但根据可预防的住院率记录,低收入人群的健康结果差异仍然很大。贫富人群在健康结果上的这些差异并非少数老旧衰败的东北部城市中心的个别现象,而是在广泛的城市地区都有记录。在安大略省的城市地区,差异要小得多,在那里全民医保可能有助于减少就医障碍。