Moving Toward Inclusion: Access to Care Models for Uninsured Immigrant Children.

IF 4.8 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Milbank Quarterly Pub Date : 2023-12-01 Epub Date: 2023-07-26 DOI:10.1111/1468-0009.12665
Katelyn Girtain, Sural Shah, Ana C Monterrey, J Raul Gutierrez, Mark Kuczewski, Julie M Linton
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引用次数: 0

Abstract

Policy Points Models for access to care for uninsured immigrant children that mitigate structural and sociopolitical barriers to inclusive health care include funding structures (e.g., state-sponsored coverage) and care delivery systems (e.g., federally qualified health centers,). Although the quintessential model of access to care necessitates health coverage for all children regardless of immigration status or date of United States entry, incremental policy change may more realistically and efficiently advance equitable access to high-quality health care. Intentional advocacy efforts should prioritize achievable goals that are grounded in data, are attentive to the sociopolitical milieu, are inclusive of diverse perspectives, and would meaningfully impact health care access and outcomes.

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走向包容:为没有保险的移民儿童提供医疗服务的模式。
政策要点 为没有保险的移民儿童提供医疗服务的模式包括资助结构(如州政府资助的保险)和医疗服务体系(如联邦合格医疗中心),这些模式可以减少包容性医疗服务的结构性和社会政治障碍。尽管获得医疗服务的典型模式是必须为所有儿童提供医疗保险,无论其移民身份或进入美国的日期如何,但渐进式的政策变革可能更现实、更有效地促进公平地获得高质量的医疗服务。有意识的宣传工作应优先考虑可实现的目标,这些目标应以数据为基础,关注社会政治环境,包容不同观点,并将对医疗保健的获取和结果产生有意义的影响。
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来源期刊
Milbank Quarterly
Milbank Quarterly 医学-卫生保健
CiteScore
9.60
自引率
3.00%
发文量
37
审稿时长
>12 weeks
期刊介绍: The Milbank Quarterly is devoted to scholarly analysis of significant issues in health and health care policy. It presents original research, policy analysis, and commentary from academics, clinicians, and policymakers. The in-depth, multidisciplinary approach of the journal permits contributors to explore fully the social origins of health in our society and to examine in detail the implications of different health policies. Topics addressed in The Milbank Quarterly include the impact of social factors on health, prevention, allocation of health care resources, legal and ethical issues in health policy, health and health care administration, and the organization and financing of health care.
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