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Access-To-Care Differences Between Mexican-Heritage And Other Latinos In California After The Affordable Care Act.
Bustamante, Arturo Vargas; McKenna, Ryan M; Viana, Joseph; Ortega, Alexander N; Chen, Jie.
Afiliação
  • Bustamante AV; Arturo Vargas Bustamante ( avb@ucla.edu ) is an associate professor of health policy and management at the Jonathan and Karin Fielding School of Public Health, University of California Los Angeles (UCLA).
  • McKenna RM; Ryan M. McKenna is an assistant professor of health management and policy at the Drexel University Dornsife School of Public Health, in Philadelphia, Pennsylvania.
  • Viana J; Joseph Viana is a graduate student researcher at the Jonathan and Karin Fielding School of Public Health at UCLA.
  • Ortega AN; Alexander N. Ortega is a professor in and chair of the Department of Health Management and Policy, Drexel University Dornsife School of Public Health.
  • Chen J; Jie Chen is an associate professor of health services administration at the University of Maryland, in College Park.
Health Aff (Millwood) ; 37(9): 1400-1408, 2018 09.
Article em En | MEDLINE | ID: mdl-30179559
We examined changes in health insurance coverage and access to and use of health care among adult (ages 18-64) Latinos in the US before (2007-13) and after (2014-16) implementation of the main provisions of the Affordable Care Act. Data from the California Health Interview Survey were used to compare respondents in the two periods. We used multivariable and decomposition regression analyses to investigate the role of documentation status in access disparities between Mexicans and other Latinos in California. Our findings show that after the implementation of these provisions in California, insurance coverage increased for US- and foreign-born Latinos, including undocumented Latinos. Our decomposition analyses show that after implementation, disparities between Mexicans and other Latinos declined with respect to having coverage and a usual source of care. Without the implementation of these provisions in 2014, these disparities would have been 5.76 percent and 0.31 percent larger, respectively. In contrast, legal documentation status was positively associated with disparities between Mexicans and other Latinos in having coverage and physician visits. If Mexican Latinos had had the same share of undocumented immigrants as other Latinos, disparities in health insurance coverage would have declined by 24.17 percent.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hispânico ou Latino / Disparidades em Assistência à Saúde / Patient Protection and Affordable Care Act / Imigrantes Indocumentados / Acessibilidade aos Serviços de Saúde Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: Mexico Idioma: En Revista: Health Aff (Millwood) Ano de publicação: 2018 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hispânico ou Latino / Disparidades em Assistência à Saúde / Patient Protection and Affordable Care Act / Imigrantes Indocumentados / Acessibilidade aos Serviços de Saúde Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: Mexico Idioma: En Revista: Health Aff (Millwood) Ano de publicação: 2018 Tipo de documento: Article País de publicação: Estados Unidos