Race-neutral versus race-conscious workforce policy to improve access to care
Race-neutral versus race-conscious workforce policy to improve access to care
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DOI：
10.1377/hlthaff.27.1.234
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发表时间：
2008-01-01
期刊：
影响因子：
9.7
通讯作者：
Shipman, Scott A.
中科院分区：
文献类型：
--
作者：
Saha, Somnath;Shipman, Scott A.
尽管扩大了卫生人力，但种族和少数民族群体、低收入人群以及无保险和保险不足人群获得保健的机会仍然存在问题。我们需要改善医疗服务可及性的劳动力政策，以及支持这些政策的资金。回顾了与服务不足的提供者服务模式相关的证据，本文得出结论，与社会经济背景较低或国家卫生服务队相比，代表性不足的少数民族卫生专业人员始终更有可能向服务不足的人提供卫生保健。这些发现对政策和项目具有启示意义，这些政策和项目可能会利用劳动力来更好地满足弱势患者的需求。
Access to care for racial and ethnic minority groups, low-income populations, and the un- and underinsured has been problematic despite expansion in the health workforce. Workforce policies that improve access to care are needed, as is funding to support them. Reviewing evidence related to providers' patterns of service to the underserved, this paper concludes that underrepresented minority health professionals have consistently been more likely than those from low socioeconomic backgrounds or the National Health Service Corps to deliver health care to the underserved. These findings have implications for policies and programs that might leverage the workforce to better meet the needs of disadvantaged patients.