Access to and Disparities in Care among Migrant and Seasonal Farm Workers (MSFWs) at US Health Centers

被引：11

作者：

Hu, Ruwei ^{[1
]}

Shi, Leiyu ^{[2
]}

Lee, De-Chih ^{[3
]}

Haile, Geraldine Pierre ^{[4
]}

机构：

[1] Sun Yat Sen Univ, Dept Hlth Management, Sch Publ Hlth, Guangzhou, Peoples R China

[2] Johns Hopkins Univ, Dept Hlth Policy & Management, Bloomberg Sch Publ Hlth, Baltimore, MD 21218 USA

[3] Dayeh Univ, Dept Informat Management, Dacun 51591, Changhua, Taiwan

[4] Johns Hopkins Univ, Johns Hopkins Primary Care Policy Ctr, Bloomberg Sch Publ Hlth, Baltimore, MD 21218 USA

来源：

JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED | 2016年 / 27卷 / 03期

关键词：

Access to care; quality of care; migrants and seasonal farm workers (MSFWs); community health centers; HOSPITAL OUTPATIENT DEPARTMENTS; SELF-RATED HEALTH; INCOME INEQUALITY; UNITED-STATES; MORTALITY; QUALITY; DELIVERY;

D O I：

10.1353/hpu.2016.0107

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：

Objectives. This study describes the characteristics of migrant and seasonal farm workers (MSFWs) served by federally-funded health centers and examines disparities in access to primary and preventive care between migrant health center (MHC) and community health center (CHC) program patients. Methods. Cross-sectional analysis of the 2009 Health Center Patient Survey which has 2212 and 831 patients from CHC and MHC program patients, respectively. Results. Our study showed that the MHC program provided comparable health care access and quality for MSFWs relative to CHC patients. However, there were challenges with access to primary care, such as getting timely medical and dental care and prescription medicine. Discussion. These results affirmed the role of health centers in providing high-quality primary care and reducing disparities. However, continual efforts are needed to enhance access to and quality of care for MSFWs.

引用

页码：1484 / 1502

页数：19

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