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https://www.readbyqxmd.com/read/26802837/the-uninsured-the-homeless-and-the-undocumented-immigrant-trauma-patient-revealing-health-care-disparity-at-a-level-1-trauma-center
#1
Paula Ferrada, Rahul J Anand, Michel Aboutanos
No abstract text is available yet for this article.
January 2016: American Surgeon
https://www.readbyqxmd.com/read/26623454/barriers-to-health-insurance-pre-and-post-affordable-care-act-implementation-in-providence-ri
#2
Jennifer Pigoga, Farzana Kibria, Mauricio Pinilla, Alexandra Bicki, Valerie Joseph, Anne S De Groot
The impact of healthcare reform under the Affordable Care Act (ACA) on individuals living in cities has not yet been quantified by local Departments of Health. This makes it difficult for safety net sources of healthcare, such as free clinics, to plan for the future. Therefore, members of Clinica Esperanza/Hope Clinic conducted a survey in predominantly Latino communities of South and West Providence, RI, using a convenience sample method (N = 206). Survey results were compared to a prior survey conducted in the same communities prior to ACA implementation...
December 2015: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/26605956/access-to-and-use-of-health-care-services-among-latinos-in-east-los-angeles-and-boyle-heights
#3
Héctor E Alcalá, Stephanie L Albert, Shawn K Trabanino, Rosa-Elena Garcia, Deborah C Glik, Michael L Prelip, Alexander N Ortega
This study examined differences in access, utilization, and barriers to health care by nativity, language spoken at home, and insurance status in East Los Angeles and Boyle Heights, California. Data from household interviews of neighborhood residents conducted as part of a corner store intervention project were used. Binary and multinomial logistic regression models were fitted. Results showed that uninsured and foreign-born individuals were differentially affected by lack of access to and utilization of health care...
January 2016: Family & Community Health
https://www.readbyqxmd.com/read/26437141/caring-for-the-uninsured-undocumented-population-challenges-of-chronic-disease-management-and-access-to-care
#4
Mary Thomsen
No abstract text is available yet for this article.
November 2015: Professional Case Management
https://www.readbyqxmd.com/read/26241436/linking-medicaid-expansion-and-cuts-to-disproportionate-share-hospitals-will-safety-nets-survive
#5
Edith D Gurewitsch Allen, Mark J Bittle
The predominant mechanism by which the health care reforms of the Patient Protection and Affordable Care Act of 2010 are to be financed is through the government's simultaneous defunding of major portions of Medicare and Medicaid, including the reduction of up to 75% of federal payments to disproportionate-share hospitals. The justification for curtailment of other public programs is that after Medicaid expansion under the Affordable Care Act, the decrease in the proportion of uninsured among the U.S. population will render disproportionate-share hospital payments extraneous and unnecessary...
August 2015: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26120244/the-immigrant-and-hispanic-paradoxes-a-systematic-review-of-their-predictions-and-effects
#6
Stacey A Teruya, Shahrzad Bazargan-Hejazi
A survey of the literature indicates that reported advantages of the Immigrant and Hispanic Paradox are inconsistent and equivocal. The healthy migrant hypothesis also suggests that current research approaches consider only "healthy" groups. Other methodological concerns include the simple underreporting of deaths, and that commonly used databases may not include all significant attributes and characteristics. We conducted a systematic review, synthesizing and identifying themes not explicitly found in the current literature...
September 5, 2013: Hispanic Journal of Behavioral Sciences
https://www.readbyqxmd.com/read/26062333/undocumented-and-uninsured-aftereffects-of-the-patient-protection-and-affordable-care-act
#7
Nataly Agabin, Janis Coffin
Although with the implementation of the Patient Protection and Affordable Care Act millions of previously uninsured American residents will gain access to healthcare coverage, millions more will remain uninsured due to the lack of mandatory state Medicaid expansion as well as mandates that forbid undocumented immigrants and legal residents of less than five years from purchasing insurance through the newly available market exchange. With limited options for healthcare coverage due to employment and lack of citizen status, undocumented immigrants rely heavily on funds provided by both Emergency Medicaid and Disproportionate Share Hospital programs...
March 2015: Journal of Medical Practice Management: MPM
https://www.readbyqxmd.com/read/25231664/affordable-access-to-care-for-the-undocumented
#8
Dennis Rosen
How do you tell a sick kid that nobody cares if he gets better? That's an exaggeration, of course, but it is the fundamental message our society sends when we tell him that, because he and his family are undocumented immigrants, we are unwilling to extend them access to affordable and reliable health insurance. One major shortcoming of the Affordable Care Act is its specific exclusion of the almost twelve million undocumented immigrants-including millions of children-in this country from access to the state and federal insurance exchanges where coverage can be purchased...
September 2014: Hastings Center Report
https://www.readbyqxmd.com/read/25153191/improving-access-to-health-care-for-undocumented-immigrants-in-the-united-states
#9
Steven P Wallace, Michael Rodriguez, Imelda Padilla-Frausto, Armando Arredondo, Emanuel Orozco
OBJECTIVE: To identify policies that increase access to health care for undocumented Mexican immigrants. MATERIALS AND METHODS: Four focus groups (n=34 participants) were conducted with uninsured Mexican immigrants in Los Angeles, California. The feasibility and desirability of different policy proposals for increasing access were discussed by each group. RESULTS: Respondents raised significant problems with policies including binational health insurance, expanded employer-provided health insurance, and telemedicine...
2013: Salud Pública de México
https://www.readbyqxmd.com/read/25147984/health-care-for-undocumented-immigrants-in-texas-past-present-and-future
#10
REVIEW
Rohit Kuruvilla, Rajeev Raghavan
Providing health care to the 1.6 million undocumented immigrants in Texas is an existing challenge. Despite continued growth of this vulnerable population, legislation between 1986 and 2013 has made it more difficult for states to provide adequate and cost-effective care. As this population ages and develops chronic illnesses, Texas physicians, health care administrators, and legislators will be facing a major challenge. New legislation, such as the Affordable Care Act and immigration reform, does not address or attempt to solve the issue of providing health care to this population...
July 2014: Texas Medicine
https://www.readbyqxmd.com/read/25130358/undocumented-and-at-the-end-of-life
#11
Annette Mendola
Three of the most contentious issues in contemporary American society-allocation of medical resources, end of life care, and immigration-converge when undocumented immigrant patients are facing the terminal phase of chronic illness. The lack of consistent, pragmatic policy in each of these spheres leaves us with little guidance for how to advocate for undocumented patients at the end of life. Limited resources and growing need compound the problem. Care for patients in this unfortunate situation should be grounded in clinical and economic reality as well as respect for the dignity of the individual to avoid exacerbating inequalities...
2014: Narrative Inquiry in Bioethics
https://www.readbyqxmd.com/read/25082744/potential-disparities-in-trauma-the-undocumented-latino-immigrant
#12
Vincent E Chong, Wayne S Lee, Gregory P Victorino
BACKGROUND: Little is known about the quality of trauma care undocumented immigrants receive. Documentation status may serve as a risk factor for health disparities. We hypothesized that undocumented Latino immigrants have an increased risk of mortality after trauma compared with Latinos with legal residence. MATERIALS AND METHODS: The medical records for Latino trauma patients at our university-based trauma center between 2007 and 2012 were retrospectively reviewed...
October 2014: Journal of Surgical Research
https://www.readbyqxmd.com/read/24862175/medical-humanitarianism-in-the-united-states-alternative-healthcare-spirituality-and-political-advocacy-in-the-case-of-our-lady-guadalupe-free-clinic
#13
Kristina Tiedje, David J Plevak
Exclusionary practices in dominant market-based systems are recognized as contributing to global health inequities. Undocumented immigrants are particularly vulnerable to unequal access to healthcare. Humanitarian NGOs strive to respond meaningfully to these health inequities among migrants and undocumented immigrants. Few studies describe the work of humanitarian NGOs that advocate for the right to health of undocumented immigrants in high-income countries. This paper discusses immigration, health, and human rights while examining solidarity, spirituality, and advocacy using a U...
November 2014: Social Science & Medicine
https://www.readbyqxmd.com/read/24799582/assessing-health-care-services-used-by-california-s-undocumented-immigrant-population-in-2010
#14
Nadereh Pourat, Steven P Wallace, Max W Hadler, Ninez Ponce
Undocumented immigrants were excluded from the health benefit Marketplaces created by the Affordable Care Act partly because of claims that they contribute to problems such as high costs and emergency department (ED) crowding. This article examines the likely health care use and costs of undocumented immigrants in California in 2009-10. Using data from the 2009 California Health Interview Survey (CHIS), we developed a model that estimated the state's adult and child undocumented immigrant population, since the survey does not explicitly inquire about undocumented status...
May 2014: Health Affairs
https://www.readbyqxmd.com/read/24697135/meet-the-challenge-of-discharging-patients-with-no-way-to-pay
#15
(no author information available yet)
Case managers and social workers have to look for creative solutions as hospitals struggle with finding a safe discharge for uninsured, undocumented, and homeless patients. It's often more cost-effective for hospitals to pay for post-discharge care rather than keeping unfunded patients as inpatients after they no longer meet acute care criteria. Undocumented patients sometimes want to go back to their home country for post-discharge care, but many have families in this country who are willing to care for them...
April 2014: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/24671893/-health-care-for-undocumented-migrants-a-quantitative-study-on-the-role-of-local-health-authorities-in-germany
#16
M Mylius, A Frewer
Public welfare on a municipal level for groups with special health risks has been an important topic of public health service for more than a century. This notion has been taken up by the German "Protection against Infection Act" (IfSG) in § 19 IfSG. Local health service authorities may provide out-patient treatment in addition to counselling and diagnosis for patients with sexually transmitted infections and tuberculosis, which is covered by public resources in cases of apparent need. Due to altered legislation and increased global mobility, this may become important for migrants without access to regular health care...
July 2014: Das Gesundheitswesen
https://www.readbyqxmd.com/read/24597424/organ-donation-among-undocumented-hispanic-immigrants-an-assessment-of-knowledge-and-attitudes
#17
Joshua S Baru, Brian R Lucas, Carmen Martinez, Daniel Brauner
BACKGROUND: Undocumented immigrants can donate their organs, but lack access to organ transplantation.This challenges foundational principles of organ donation: fairness and informed consent. Little is known about undocumented immigrants' knowledge of barriers to their access to organ transplantation or how this might affect their decision to donate their organs. METHODS: The study was performed in an urban, university-affiliated, safety-net hospital.We interviewed hospitalized patients who self-identified as undocumented immigrants and were unaware of having any contraindication to organ donation (for example, cancer)...
2013: Journal of Clinical Ethics
https://www.readbyqxmd.com/read/24556781/academic-health-centers-and-care-of-undocumented-immigrants-in-the-united-states-servant-leaders-or-uncourageous-followers
#18
David A Acosta, Sergio Aguilar-Gaxiola
Public dialogue and debate about the health care overhaul in the United States is centered on one contentious question: Is there a moral obligation to ensure that all people (including undocumented immigrants) within its borders have access to affordable health care? For academic health centers (AHCs), which often provide safety-net care to the uninsured, this question has moral and social implications. An estimated 11 million undocumented immigrants living in the United States (80% of whom are Latino) are uninsured and currently prohibited from purchasing exchange coverage under the Patient Protection and Affordable Care Act, even at full cost...
April 2014: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/24556759/the-potential-conflict-between-policy-and-ethics-in-caring-for-undocumented-immigrants-at-academic-health-centers
#19
Lisa Cacari Stone, Leah Steimel, Estela Vasquez-Guzman, Arthur Kaufman
Academic health centers (AHCs) are at the forefront of delivering care to the diverse medically underserved and uninsured populations in the United States, as well as training the majority of the health care workforce, who are professionally obligated to serve all patients regardless of race or immigration status. Despite AHCs' central leadership role in these endeavors, few consolidated efforts have emerged to resolve potential conflicts between national, state, and local policies that exclude certain classifications of immigrants from receiving federal public assistance and health professionals' social missions and ethical oath to serve humanity...
April 2014: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/24493776/undocumented-immigrants-and-kidney-transplant-costs-and-controversy
#20
Vanessa Grubbs
No abstract text is available yet for this article.
February 2014: Health Affairs
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