Titre : | Health service access, use, and insurance coverage among American Indians/Alaska natives and whites : What role does the Indian Health Service play ? (2004) |
Auteurs : | Stephen ZUCKERMAN ; Jennifer HALEY ; LILLIE-BLANTON (Marsha) : USA. Henry J Kaiser Family Foundation. Washington. DC. ; ROUBIDEAUX (Yvette) : USA. College of Public Health. University of Arizona. Tuscon. ; Urban Institute. Health Policy Center. Washington. DC. USA |
Type de document : | Article |
Dans : | American journal of public health (vol. 94, n° 1, Janvier 2004) |
Pagination : | 53-59 |
Langues: | Anglais |
Mots-clés : | Assurance maladie ; Utilisation service ; Protection sociale ; Accès soins ; Utilisation ; Etats Unis ; Amérique ; Soins ; Homme ; Amérique du Nord |
Résumé : | [BDSP. Notice produite par INIST-CNRS g3R0xnOX. Diffusion soumise à autorisation]. Objectives : We compared access and utilization of health services among American Indians/Alaska Natives (AlANs) with that among non-Hispanic Whites. Methods : We used data from the 1997 and 1999 National Survey of America's Families to estimate odds ratios for several measures of access and utilization and the effects of Indian Health Service (IHS) coverage. Results : AlANs had less insurance coverage and worse access and utilization than Whites. Over half of low-income uninsured AlANs did not have access to the IHS. However, among the low income population, AlANs with only IHS access fared better than uninsured AlANs and as well as insured Whites for key measures but received less preventive care. Conclusions : The IHS partially offsets lack of insurance for some uninsured AlANs, but important needs were potentially unmet. |
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