Immigrant Health Care Access and the Affordable Care Act

• 成果类型: Article
• 署名作者: Pandey, Sanjay K.; Cantor, Joel C.; Lloyd, Kristen
• 署名单位: George Washington University; Rutgers University System; Rutgers University New Brunswick
• 刊物名称: PUBLIC ADMINISTRATION REVIEW
• ISSN/ISSBN: 0033-3352
• DOI: 10.1111/puar.12280
• 发表日期: 2014
• 页码: 749-U219
• 关键词: UNITED-STATES; behavioral-model; vulnerable populations; insurance coverage; medical-care; Safety-net; mortality; REFORM; hispanics; latinos

摘要

In spite of major coverage expansions under the Patient Protection and Affordable Care Act (ACA), a large proportion of immigrants will continue to remain outside the scope of coverage. Because various provisions of the ACA seek to enhance access, advancing knowledge about immigrant access to health care is necessary. The authors apply the well-known Andersen model on health care access to two measures-one focusing on perceptions of unmet health care needs and the other on physician visits during the last year. Using data from the New Jersey Family Health Survey, the authors find that prior to implementation of the ACA coverage expansions, immigrants in New Jersey reported lower levels of unmet health care needs despite poorer self-rated health compared with U. S.-born residents. The article concludes with a discussion of the use of Andersen model for studying immigrant health care access and the broader implications of the findings.