Disability-Related Disparities in Access to Health Care Before (2008–2010) and After (2015–2017) the Affordable Care Act.
Objectives. To explore the effect of the Affordable Care Act (ACA) on disparities in access to health care based on disability status, as well as age, income, race, and ethnicity. Methods. In this study, I used logistic regression to analyze nationally representative data from 128 000 respondents to...
| Publicado en: | American Journal of Public Health Vol. 109; no. 7; pp. 1015 - 1022 |
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| Formato: | Artículo |
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American Public Health Association
Jul2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=136826104&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 136826104 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Jul2019 vid: 109 iid: 7 pid: 44 pub: American Public Health Association artinfo: ui: 136826104 10.2105/AJPH.2019.305056 ppf: 1015 ppct: 7 formats: tig: atl: Disability-Related Disparities in Access to Health Care Before (2008–2010) and After (2015–2017) the Affordable Care Act. aug: au: Kaye, H. Stephen affil: H. Stephen Kaye is with the Institute for Health and Aging, University of California San Francisco. su: United States Health services accessibility Health equity Disabilities Public health Age distribution Ethnic groups Health status indicators Income Medical care costs Mental illness People with disabilities Race Medical care for people with disabilities Patient Protection & Affordable Care Act Americans with Disabilities Act of 1990 Medicaid eligibility Surveys Logistic regression analysis sug: subj: Health services accessibility Health equity Disabilities Public health Age distribution Ethnic groups Health status indicators Income Medical care costs Mental illness People with disabilities Race United States Health and Welfare Funds Medical care for people with disabilities Patient Protection & Affordable Care Act Americans with Disabilities Act of 1990 Medicaid eligibility Surveys Logistic regression analysis ab: Objectives. To explore the effect of the Affordable Care Act (ACA) on disparities in access to health care based on disability status, as well as age, income, race, and ethnicity. Methods. In this study, I used logistic regression to analyze nationally representative data from 128 000 respondents to the US National Health Interview Survey from 2008 to 2010 and 2015 to 2017. Outcome variables were uninsurance over the previous 12 months, delayed or forgone health care for reasons of cost, and having a regular provider at a doctor's office or health clinic. Results. Over the period when the ACA was implemented, large existing disparities in access to health care were reduced for people with certain types of disabilities, young adults aged 19 to 25 years, and low-income families. Conclusions. The ACA improved overall access to health care and reduced some disparities, but substantial disparities persist. Disability status remains associated with much greater risk of delayed or forgone care, and mental health disability is associated with greater likelihood of uninsurance. Public Health Implications. The ACA partially achieved its goals and must not be weakened or rolled back. Further policy efforts are needed to address the remaining disparities. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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