Deserving to a point: Unauthorized immigrants in San Francisco's universal access healthcare model
Deserving to a point: Unauthorized immigrants in San Francisco's universal access healthcare model
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DOI：
10.1016/j.socscimed.2011.08.001
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发表时间：
2012-03-01
影响因子：
5.4
通讯作者：
Marrow, Helen B.
中科院分区：
文献类型：
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作者：
Marrow, Helen B.
在“坚决敌对”的联邦背景下，对未经授权的移民在美国医疗保健（牛顿和亚当斯，2009年，第422页），一些地方政府已经实施了战略，寻求扩大他们的访问和利用护理。在这篇文章中，我借鉴了与36个初级保健提供者在旧金山弗朗西斯科的公共安全网2009年5月至9月之间进行的采访，研究如何包容性的地方政策的工作。一方面，弗朗西斯科的包容性地方政策环境鼓励并强化了公共安全网提供者将未经授权的移民视为在道德上值得平等照顾的患者的观点，并通过为他们提供更多的财政资源来帮助他们将其包容性观点转化为实际行为。另一方面，在照顾方面仍然存在着隐性和正式的障碍，这限制了公共安全网提供者向未经许可的移民提供平等照顾的能力，即使在这种据称具有包容性的地方政策背景下也是如此。我讨论了弗朗西斯科案例对其他地方的政策制定者、供应商和移民的影响。(C)2011爱思唯尔有限公司保留所有权利。
In the "decidedly hostile" federal context toward unauthorized immigrants in American healthcare (Newton & Adams, 2009, p.422), a few subnational governments have implemented strategies seeking to expand their access to and utilization of care. In this article, I draw on interviews conducted with 36 primary care providers working in San Francisco's public safety net between May and September 2009 to examine how such inclusive local policies work. On one hand, San Francisco's inclusive local policy climate both encourages and reinforces public safety-net providers' views of unauthorized immigrants as patients morally deserving of equal care, and helps them to translate their inclusive views into actual behaviors by providing them with increased financial resources. On the other hand, both hidden and formal barriers to care remain in place, which limits public safety-net providers' abilities to extend equal care to unauthorized immigrants even within this purportedly inclusive local policy context. I discuss the implications of the San Francisco case for policymakers, providers, and immigrants elsewhere. (C) 2011 Elsevier Ltd. All rights reserved.