Hall A G
Commonwealth Fund, New York, NY 10021, USA.
J Urban Health. 1998 Dec;75(4):677-92. doi: 10.1007/BF02344498.
Numerous studies throughout the last 30 years and the results presented here from the support Medicaid's role in improving access to care for poor minority children. Since minority children are affected disproportionately by the unavailability of health insurance, Medicaid's role as a financing source is particularly important to these groups. It is also clear that reducing financial barriers will not eliminate completely the inequalities in health care utilization and disparities in health status across different racial and ethnic groups. As discussed above, despite Medicaid's influence, minority children still exhibit poorer quality of health. Thus, strategies for the next century should focus on ensuring that all barriers to care are removed. This will involve not only the guarantee of universal health care coverage for all children, but also the elimination of social, cultural, and behavioral barriers to optimum health and health care as well.
过去30年中的大量研究以及此处展示的结果都支持医疗补助计划在改善贫困少数族裔儿童获得医疗服务方面所发挥的作用。由于少数族裔儿童受医疗保险缺失的影响尤为严重，医疗补助计划作为一种融资来源对这些群体而言尤为重要。同样显而易见的是，消除经济障碍并不能完全消除不同种族和族裔群体在医疗服务利用方面的不平等以及健康状况的差异。如上文所述，尽管有医疗补助计划的影响，少数族裔儿童的健康状况仍然较差。因此，下个世纪的策略应侧重于确保消除所有医疗障碍。这不仅将涉及为所有儿童提供全民医保覆盖的保障，还将涉及消除影响最佳健康状态和医疗服务的社会、文化及行为障碍。
