Health Insurance Coverage Predicts Health Care Use among Latine Immigrants in Two Policy Contexts.

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01
Taryn Morrissey, Neko Michelle Castleberry, Duncan McHale, Catalina Sol, Molly Dondero, Thespina Yamanis
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Abstract

This study analyzed electronic health record (EHR) data from 2016 through 2019 from a federally qualified health center (FQHC) serving predominantly low-income Latine immigrants in the Washington, D.C. metropolitan area to examine how changes in health insurance coverage relate to changes in health care use. Federally qualified health center clients were insured for an average of 59% to 63% of their annual visits, but about one-third had no coverage throughout the year. Findings from descriptive regression and within-client fixed effects models indicate that in years with higher proportions of insured visits, clients averaged more medical visits and interpreter services but fewer mental health and care coordination visits. Latine immigrant clients in D.C., a city with a universal health insurance option, had health insurance coverage for 89% of their visits, and averaged more medical and fewer coordination visits relative to those in a neighboring county in a state without a universal insurance option.

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医疗保险覆盖率预测两种政策背景下拉丁裔移民的医疗保健使用情况。
本研究分析了华盛顿特区大都会地区一家主要为低收入拉丁裔移民提供服务的联邦合格医疗中心(FQHC)从 2016 年到 2019 年的电子健康记录(EHR)数据,以研究医疗保险覆盖范围的变化与医疗保健使用变化之间的关系。联邦合格医疗中心的客户每年平均有 59% 至 63% 的就诊时间参加了医疗保险,但约有三分之一的人全年都没有参加医疗保险。描述性回归和客户内部固定效应模型的结果表明,在投保就诊比例较高的年份,客户平均就诊次数和口译服务次数较多,但心理健康和护理协调就诊次数较少。华盛顿特区是一个拥有全民医疗保险的城市,该市的拉丁裔移民客户有 89% 的就诊时间都有医疗保险,与没有全民医疗保险的州邻近县的客户相比,他们的平均就诊时间更长,而协调就诊时间更短。
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来源期刊
CiteScore
2.00
自引率
7.10%
发文量
154
期刊介绍: The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.
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