Improving access to health care in Latino communities.
Improving access to health care in Latino communities.
复制标题
改善拉丁裔社区获得医疗保健的机会。
DOI：
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发表时间：
1993
期刊：
影响因子：
--
通讯作者：
Castulo de la Rocha
中科院分区：
文献类型：
--
作者：
R. Valdez;A. Giachello;H. Rodriguez;P. Gómez;Castulo de la Rocha
关于医疗保健改革的公开辩论通常集中在医疗保险覆盖的必要性上，但在拉丁裔社区，许多其他障碍也阻碍了获得医疗保健的机会。此外，基本公共卫生服务往往资金不足或被忽视。因此，如果要满足拉丁裔社区的需求，全国和每个州的医疗改革努力都必须以更广泛的视角看待问题。本报告回顾并总结了拉丁裔社区在获得医疗服务方面面临的日益严重的问题的信息。众多财政、结构和制度障碍减少了获得适当医疗保健的机会。经济障碍包括拉丁美洲社区常见的缺乏医疗保险和家庭收入低。超过 700 万拉丁美洲人（39%）没有医疗保险。没有健康保险的拉丁美洲人获得的医疗保健大约是有保险的人的一半。从结构上讲，交付系统组织很少反映其所在社区的文化或社会问题。因此，提供者和患者无法充分沟通他们的担忧。拉丁裔医疗保健专业人员和其他可用资源的极度短缺加剧了这些沟通问题。制度障碍往往反映出未能考虑提供良好服务和高质量医疗保健意味着什么。减少这些医疗保健障碍需要修改政府和机构政策，扩大有能力的提供者的供应，重组提供系统的激励措施以确保初级保健和公共卫生服务，并提高服务和护理满意度。
Public debate about health care reform often focuses on the need for health insurance coverage, but in Latino communities many other barriers also inhibit access to medical care. In addition, basic public health services often go underfunded or ignored. Thus, health care reform efforts, nationally and in each State, must embrace a broader view of the issues if the needs of Latino communities are to be served. This report reviews and summarizes information about the mounting problems Latino communities face in gaining access to medical care. Access to appropriate medical care is reduced by numerous financial, structural, and institutional barriers. Financial barriers include the lack of health insurance coverage and low family incomes common in Latino communities. More than 7 million Latinos (39 percent) go without health insurance coverage. Latinos without health insurance receive about half as much medical care as those who are insured. Structurally, the delivery system organization rarely reflects the cultural or social concerns of the communities where they are located. Therefore, providers and patients fail to communicate their concerns adequately. These communication problems are exacerbated by the extreme shortage of Latino health care professionals and other resources available. Institutional barriers often reflect the failure to consider what it means to provide good service as well as high-quality medical care. Reducing these barriers to medical care requires modifying governmental and institutional policies, expanding the supply of competent providers, restructuring delivery system incentives to ensure primary care and public health services, and enhancing service and satisfaction with care.
墨西哥裔美国人的文化适应和使用医疗服务的可能性。
影响因子：
3.4
作者：
Wells,KB;Golding,JM;Hough,RL;Burnam,MA;Karno,M
通讯作者：
Karno,M