Health insurance differentials among minority children with chronic conditions and the role of federal agencies and private foundations in improving financial access.

摘要: Minorities experience a disproportionate share of the financial barriers resulting from higher rates uninsuredness and greater reliance on Medicaid vs private insurance. As result, health services use patterns expenditures vary markedly by race ethnicity.1,2 National survey data reveal rapid increase in number uninsured black Hispanic persons between 1977 1987.3 The major factors contributing to this are (1) overall growth size minority population, especially Hispanics; (2) reductions insurance coverage; (3) lack significant expansions public programs, largely (note: several eligibility affecting poor children occurred during after 1987). In 1987, 14% white younger than age 18 were compared 22% 33% (Cornelius LJ. Unpublished data). Black more likely rely as their primary financing source persons.3 8% covered 38% 28% Agency for Health Care Policy Research, 1992.). Despite Medicaid9s importance source, low reimbursement have resulted inadequate provider participation corresponding access barriers.4,5 comparison with persons, minorities less employer-based benefits. Part reason lies types jobs that disproportionately held minorities. Personal service agricultural employers typically do not offer employees.