“They Treat you a Different Way:” Public Insurance, Stigma, and the Challenge to Quality Health Care

作者: Anna C. Martinez-Hume , Allison M. Baker , Hannah S. Bell , Isabel Montemayor , Kristan Elwell

DOI: 10.1007/S11013-016-9513-8

关键词:

摘要: Under the Affordable Care Act, Medicaid Expansion programs are extending eligibility and increasing access to care. However, stigma associated with public insurance coverage may importantly affect nature content of health care beneficiaries receive. In this paper, we examine experiences described by a group low-income beneficiaries. They perceive as manifest in poor quality negative interpersonal interactions setting. Using an intersectional approach, found that was compounded other sources including socioeconomic status, race, gender, illness status. Experiences had important implications for how subjects evaluated care, their decisions impacting continuity reported ability We argue challenges provided under is thus issue should be addressed policy.

参考文章(65)
Atwood D. Gaines, Race: Local Biology and Culture in Mind Blackwell Publishing Ltd. pp. 274- 297 ,(2007) , 10.1002/9780470996409.CH16
Elizabeth Mason-Whitehead, Tom Mason, Stigma and Exclusion in Healthcare Settings John Wiley & Sons, Ltd. pp. 59- 78 ,(2008) , 10.1002/9780470773178.CH4
Mary-Jo DelVecchio Good, Cara James, Byron J. Good, Anne E. Becker, The Culture of Medicine and Racial, Ethnic, and Class Disparities in Healthcare The Blackwell Companion to Social Inequalities. pp. 396- 423 ,(2007) , 10.1002/9780470996973.CH18
P B Jackson, D.R. Williams, A. Shulz, L. Mullings, The Intersection of Race, Gender, and SES: Health Paradoxes. Gender, Race, Class and Health. ,(2006)
J. Horton, S, Abadia, C., Mulligan, J. & Thompson, Critical Anthropology of Global Health “Takes a Stand” Statement: A Critical Medical Anthropological Approach to the U.S.'s Affordable Care Act Medical Anthropology Quarterly. ,vol. 28, pp. 1- 22 ,(2014) , 10.1111/MAQ.12065
Linda M. Hunt, Nicole D. Truesdell, Meta J. Kreiner, Genes, race, and culture in clinical care: racial profiling in the management of chronic illness. Medical Anthropology Quarterly. ,vol. 27, pp. 253- 271 ,(2013) , 10.1111/MAQ.12026
Gabriel S. Tajeu, Andrea L. Cherrington, Lynn Andreae, Candice Prince, Cheryl L. Holt, Jewell H. Halanych, “We’ll Get to You When We Get to You”: Exploring Potential Contributions of Health Care Staff Behaviors to Patient Perceptions of Discrimination and Satisfaction American Journal of Public Health. ,vol. 105, pp. 2076- 2082 ,(2015) , 10.2105/AJPH.2015.302721
Natalie Skinner, N. T. Feather, Toby Freeman, Ann Roche, Stigma and Discrimination in Health-Care Provision to Drug Users: The Role of Values, Affect, and Deservingness Judgments Journal of Applied Social Psychology. ,vol. 37, pp. 163- 186 ,(2007) , 10.1111/J.0021-9029.2007.00154.X