Most uninsured people unaware of health care safety net providers.

Jessica H May, Peter J Cunningham, Jack Hadley
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Abstract

Less than half of uninsured Americans either typically use or are aware of a safety net provider in their community, according to a national study by the Center for Studying Health System Change (HSC). Among all uninsured people, those with lower-incomes, racial/ethnic minorities and people living closer to safety net providers are more likely to know of or use a safety net provider for medical care. Uninsured people identify physician offices and community health centers most frequently as sources of lower-cost medical care, while hospital-based facilities--outpatient and emergency departments--are less likely to be mentioned. Despite high levels of emergency department (ED) use by uninsured people, few identify EDs as places to get affordable medical care.

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大多数没有保险的人不知道卫生保健安全网提供者。
根据卫生系统改革研究中心(HSC)的一项全国性研究,只有不到一半的没有保险的美国人通常使用或知道他们社区中的安全网提供者。在所有没有保险的人中,收入较低的人、种族/族裔少数群体和居住在离安全网提供者较近的人更有可能知道或使用安全网提供者提供医疗服务。没有保险的人最常将医生办公室和社区卫生中心视为成本较低的医疗服务来源,而以医院为基础的设施——门诊和急诊部门——则不太可能被提及。尽管没有保险的人使用急诊科(ED)的比例很高,但很少有人认为急诊科是获得负担得起的医疗服务的地方。
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