Inability to Access Needed Medical Care Among Asian American, Native Hawaiian, and Pacific Islander Medicaid Enrollees

被引：0

作者：

Nguyen, Kevin H. ^{[1
]}

Oronce, Carlos Irwin A. ^{[2
,3
,4
,5
,6
]}

Adia, Alexander C. ^{[4
,7
]}

Yeh, Jih-Cheng ^{[1
]}

Ponce, Ninez ^{[2
,3
]}

机构：

[1] Boston Univ, Sch Publ Hlth, Dept Hlth Law Policy & Management, 715 Albany St, Boston, MA 02118 USA

[2] Univ Calif Los Angeles, Fielding Sch Publ Hlth, Dept Hlth Policy & Management, Los Angeles, CA USA

[3] UCLA, Ctr Hlth Policy Res, Los Angeles, CA USA

[4] Filipinxao Community Hlth Assoc, Los Angeles, CA USA

[5] UCLA, David Geffen Sch Med, Div Gen Internal Med & Hlth Serv Res, Los Angeles, CA USA

[6] VA Greater Los Angeles Healthcare Syst, Dept Med, Los Angeles, CA USA

[7] Univ Calif Berkeley, Dept Hlth Policy & Management, Berkeley, CA USA

来源：

JOURNAL OF AMBULATORY CARE MANAGEMENT | 2024年 / 47卷 / 02期

关键词：

access to care; Asian American; health equity; Medicaid; Native Hawaiian; Pacific Islander;

D O I：

10.1097/JAC.0000000000000489

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

We examined self-reported inability to access to needed medical care and reasons for not accessing medical care among US-representative adult Medicaid enrollees, disaggregated across 10 Asian American, Native Hawaiian, and Pacific Islander ethnic groups. Chinese (-4.54 percentage points [PP], P < .001), Other Asian (-4.42 PP, P < .001), and Native Hawaiian (-4.36 PP, P < .001) enrollees were significantly less likely to report being unable to access needed medical care compared with non-Hispanic White enrollees. The most common reason reported was that a health plan would not approve, cover, or pay for care. Mitigating inequities may require different interventions specific to certain ethnic groups.

引用

页码：96 / 103

页数：8

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