Immigrant Health and Changes to the Public-Charge Rule: Family Physicians' Response
Immigrant Health and Changes to the Public-Charge Rule: Family Physicians' Response
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DOI：
10.1370/afm.2572
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发表时间：
2020-09-01
影响因子：
4.4
通讯作者：
Mayorga, Jose
中科院分区：
文献类型：
--
作者：
Haq, Cynthia;Hostetter, Isaure;Mayorga, Jose
随着美国联邦政府推行移民改革，联邦公共负担规则的变化引发了移民患者的困惑和担忧。尽管联邦法官暂时阻止了实施，但最高法院 2020 年 1 月的一项决定允许拟议的变更生效。这些政策变化导致许多合法移民及其家庭成员变得更加不愿意申请医疗保险、食品、住房和其他他们有资格获得的福利。本文总结了更改和排除。家庭医生可以通过提供外展教育、获得初级卫生保健以及转介法律和社会服务，有效地回应患者和移民社区对这些变化的担忧。
As the US federal government pursues immigration reform, changes to the federal public-charge rule have triggered confusion and concerns among patients who are immigrants. Although federal judges temporarily blocked implementation, a decision by the Supreme Court in January 2020 allowed the proposed changes to take effect. These policy changes have resulted in many legal immigrants and their family members becoming more reluctant to apply for health insurance, food, housing, and other benefits for which they are qualified. This article summarizes the changes and exclusions. Family physicians can effectively respond to patient and immigrant community concerns about these changes by providing outreach education, access to primary health care, and referrals to legal and social services.