贫困与医疗救治：当公共政策损害可及性时。
Poverty and medical treatment: when public policy compromises accessibility.
作者信息
Williamson D L, Fast J E
机构信息
Faculty of Nursing, University of Alberta, Edmonton.
出版信息
Can J Public Health. 1998 Mar-Apr;89(2):120-4. doi: 10.1007/BF03404403.
PURPOSE
To explore poor Edmontonians' access to medical treatment services.
METHODS
Data were collected during interviews with 130 poor Edmontonians.
RESULTS
38% of study participants had failed to obtain physician services when they were sick or bothered by a health problem, and 40% who had been prescribed a medication had not filled the prescription. Participants experienced three main barriers to access: lack of money, lack of comprehensive health care coverage, and lack of affordable transportation. Findings suggest that a variety of health care and social assistance policies limit access to treatment services for people living in poor families.
CONCLUSION
Despite the principles of the Canada Health Act, access to medical treatment is not based solely on need, but is tied, in part, to income. There is a need for health care, social, and economic policies that aim to reduce the barriers that limit access to physician services and prescription medications by people living in poverty.
目的
探讨埃德蒙顿贫困居民获得医疗服务的情况。
方法
通过对130名埃德蒙顿贫困居民进行访谈收集数据。
结果
38%的研究参与者在生病或受到健康问题困扰时未能获得医生服务，40%拿到处方药的人未取药。参与者在获得医疗服务方面遇到了三个主要障碍：缺钱、缺乏全面的医疗保险、缺乏负担得起的交通。研究结果表明，各种医疗保健和社会援助政策限制了贫困家庭居民获得治疗服务的机会。
结论
尽管有《加拿大健康法》的原则，但获得医疗服务并非仅基于需求，部分还与收入挂钩。需要制定医疗保健、社会和经济政策，以减少限制贫困人口获得医生服务和处方药的障碍。
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