Ethnic Variation in Access to Health Care of Asian Americans Who are Not U.S. Citizens: Chinese, Korean, and Vietnamese Ethnic Groups

2014 ◽  
Vol 25 (2) ◽  
pp. 577-590 ◽  
Author(s):  
Sungkyu Lee ◽  
Sam Choi ◽  
Min-Jung Jung
Keyword(s):  
Health Care ◽  
Ethnic Groups ◽  
Asian Americans ◽  
Access To Health Care ◽  
Ethnic Variation ◽  
Access To Health

Variation in Access to Health Care for Different Racial/Ethnic Groups by the Racial/Ethnic Composition of an Individual??s County of Residence

Medical Care ◽  
2004 ◽  
Vol 42 (7) ◽  
pp. 707-714 ◽  
Author(s):  
Jennifer S. Haas ◽  
Kathryn A. Phillips ◽  
Dean Sonneborn ◽  
Charles E. McCulloch ◽  
Laurence C. Baker ◽  
...  
Keyword(s):  
Health Care ◽  
Ethnic Groups ◽  
Access To Health Care ◽  
Ethnic Composition ◽  
Access To Health ◽  
Racial Ethnic

scholarly journals Medicaid Expansion and Racial and Ethnic Disparities in Access to Health Care: Applying the National Academy of Medicine Definition of Health Care Disparities

2021 ◽  
Vol 58 ◽  
pp. 004695802199129
Author(s):  
Hyunjung Lee ◽  
Dominic Hodgkin ◽  
Michael P. Johnson ◽  
Frank W. Porell
Keyword(s):  
Health Care ◽  
Ethnic Groups ◽  
Access To Health Care ◽  
Ethnic Disparities ◽  
Medicaid Expansion ◽  
Poverty Level ◽  
Physician Visits ◽  
Access To Health ◽  
Definition Of ◽  
Racial Ethnic

Since 2014, 32 states implemented Medicaid expansion by removing the categorical criteria for childless adults and by expanding income eligibility to 138% of the federal poverty level (FPL) for all non-elderly adults. Previous studies found that the Affordable Care Act (ACA) Medicaid expansion improved rates of being insured, unmet needs for care due to cost, number of physician visits, and health status among low-income adults. However, a few recent studies focused on the expansion’s effect on racial/ethnic disparities and used the National Academy of Medicine (NAM) disparity approach with a limited set of access measures. This quasi-experimental study examined the effect of Medicaid expansion on racial/ethnic disparities in access to health care for U.S. citizens aged 19 to 64 with income below 138% of the federal poverty line. The difference-in-differences model compared changes over time in 2 measures of insurance coverage and 8 measures of access to health care, using National Health Interview Survey (NHIS) data from 2010 to 2016. Analyses used the NAM definition of disparities. Medicaid expansion was associated with significant decreases in uninsured rates and increases in Medicaid coverage among all racial/ethnic groups. There were differences across racial/ethnic groups regarding which specific access measures improved. For delayed care and unmet need for care, decreases in racial/ethnic disparities were observed. After the ACA Medicaid expansion, most access outcomes improved for disadvantaged groups, but also for others, with the result that disparities were not significantly reduced.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

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