Language barriers to health care access among medicare beneficiaries
Language barriers to health care access among medicare beneficiaries
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DOI：
10.5034/inquiryjrnl_43.1.66
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发表时间：
2006-03-01
影响因子：
1.7
通讯作者：
Brown, E. Richard
中科院分区：
文献类型：
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作者：
Ponce, Ninez A.;Ku, Leighton;Brown, E. Richard
本研究调查了2001年和2003年在加州以人口为基础的医疗保险老年人样本中获得医疗保健的语言障碍。结果表明，英语水平有限（LEP）的医疗保险受益人获得常规护理的机会较少，并且不太可能接受预防性癌症筛查测试。同样享受医疗补助的LEP医疗保险受益人往往比没有医疗补助的受益人表现得更好。这可能是由于联邦民权规则要求医疗补助医疗保健提供者提供免费的语言援助，但排除在这些要求的医生谁只提供医疗保险服务。调查结果表明，联邦政府应该采取措施，减少医疗保险中的语言障碍。
This study examined language barriers to health care access among a population-based sample of Medicare seniors in California in 2001 and 2003. Results indicate that Medicare beneficiaries with limited English proficiency (LEP) had less access to a usual source of care and were less likely to receive preventive cancer screening tests. LEP Medicare beneficiaries who also were covered by Medicaid tended to fare better than those without Medicaid. This could be due to federal civil rights rules that require Medicaid health care providers to offer free language assistance, but exclude from these requirements physicians who provide only Medicare services. Findings suggest the federal government should take steps to reduce language barriers in Medicare.