Literature DB >> 19765851

Context matters: where would you be the least worse off in the US if you were uninsured?

Carolyn Garcia1, José A Pagán, Rachel Hardeman.   

Abstract

OBJECTIVES: We examined the health care access, quality, and cost experienced by uninsured Latino mothers in two communities in Minnesota and Texas. These communities differ substantially by the size of the local population without health insurance coverage.
METHODS: Four focus groups were conducted with uninsured Latino mothers who were caring for at least one child in their household. Seventeen mothers participated in each community. All focus groups were conducted by the same trained staff from a non-profit, community-based research organization.
RESULTS: Uninsured Latino mothers in Minnesota rated the quality of health care services in their community to be much higher than their Texas counterparts, but were more likely to emphasize the high costs of care and health insurance coverage. Participants in Texas also described having to go to Mexico to obtain health care services.
CONCLUSIONS: Policies making provision for health care services to the uninsured are likely to be more effective when they take into account the context or composition of each specific local health care system as well as the financial and non-financial spillovers that these uninsurance-related contexts generate.

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Mesh:

Year:  2009        PMID: 19765851      PMCID: PMC3275137          DOI: 10.1016/j.healthpol.2009.08.010

Source DB:  PubMed          Journal:  Health Policy        ISSN: 0168-8510            Impact factor:   2.980


  6 in total

1.  Lack of health insurance and decline in overall health in late middle age.

Authors:  D W Baker; J J Sudano; J M Albert; E A Borawski; A Dor
Journal:  N Engl J Med       Date:  2001-10-11       Impact factor: 91.245

2.  The effect of private insurance on the health of older, working age adults: evidence from the health and retirement study.

Authors:  Avi Dor; Joseph Sudano; David W Baker
Journal:  Health Serv Res       Date:  2006-06       Impact factor: 3.402

3.  Persistent disparities in the use of health care along the US-Mexico border: an ecological perspective.

Authors:  Elena Bastida; H Shelton Brown; José A Pagán
Journal:  Am J Public Health       Date:  2008-09-17       Impact factor: 9.308

4.  Spillovers and vulnerability: the case of community uninsurance.

Authors:  Mark V Pauly; José A Pagán
Journal:  Health Aff (Millwood)       Date:  2007 Sep-Oct       Impact factor: 6.301

5.  Unmet health needs of uninsured adults in the United States.

Authors:  J Z Ayanian; J S Weissman; E C Schneider; J A Ginsburg; A M Zaslavsky
Journal:  JAMA       Date:  2000-10-25       Impact factor: 56.272

6.  Mexican immigrant mothers' expectations for children's health services.

Authors:  Lauren Clark; Richard W Redman
Journal:  West J Nurs Res       Date:  2007-06-08       Impact factor: 1.967

  6 in total
  1 in total

1.  Health literacy and breast cancer screening among Mexican American women in South Texas.

Authors:  José A Pagán; Cynthia J Brown; David A Asch; Katrina Armstrong; Elena Bastida; Carmen Guerra
Journal:  J Cancer Educ       Date:  2012-03       Impact factor: 2.037

  1 in total

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