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Policy Dilemmas in Latino Health Care and Implementation of the Affordable Care Act

The changing Latino demographic in the United States presents a number of challenges to health care policy makers, clinicians, organizations, and other stakeholders. Studies have demonstrated that Latinos tend to have worse patterns of access to, and utilization of, health care than other ethnic and... Full description

Journal Title: Annual review of public health 2015-03-18, Vol.36 (1), p.525-544
Main Author: Ortega, Alexander N
Other Authors: Rodriguez, Hector P , Vargas Bustamante, Arturo
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: United States: Annual Reviews
ID: ISSN: 0163-7525
Link: https://www.ncbi.nlm.nih.gov/pubmed/25581154
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recordid: cdi_pubmed_primary_25581154
title: Policy Dilemmas in Latino Health Care and Implementation of the Affordable Care Act
format: Article
creator:
  • Ortega, Alexander N
  • Rodriguez, Hector P
  • Vargas Bustamante, Arturo
subjects:
  • access to care
  • Adult
  • Affordable Care Act
  • Article
  • Child
  • Child Health Services
  • Child Health Services - organization & administration
  • Child Health Services - utilization
  • community health centers
  • Delivery of Health Care
  • Delivery of Health Care - organization & administration
  • Delivery of Health Care - utilization
  • Demographic aspects
  • Emigrants
  • Emigrants and Immigrants - legislation & jurisprudence
  • Health aspects
  • Health Policy
  • Health Policy - legislation & jurisprudence
  • Health Services
  • Health Services Accessibility
  • Health Services Accessibility - legislation & jurisprudence
  • Health Services Accessibility - organization & administration
  • Hispanic Americans
  • Hispanic Americans - statistics & numerical data
  • Humans
  • Immigrants
  • Laws, regulations and rules
  • Medicaid
  • Medical care
  • Medical policy
  • Patient Protection
  • Patient Protection and Affordable Care Act - organization & administration
  • Political aspects
  • Primary Health Care
  • Primary Health Care - organization & administration
  • Public Health
  • Quality management
  • quality of care
ispartof: Annual review of public health, 2015-03-18, Vol.36 (1), p.525-544
description: The changing Latino demographic in the United States presents a number of challenges to health care policy makers, clinicians, organizations, and other stakeholders. Studies have demonstrated that Latinos tend to have worse patterns of access to, and utilization of, health care than other ethnic and racial groups. The implementation of the Affordable Care Act (ACA) of 2010 may ameliorate some of these disparities. However, even with the ACA, it is expected that Latinos will continue to have problems accessing and using high-quality health care, especially in states that are not expanding Medicaid eligibility as provided by the ACA. We identify four current policy dilemmas relevant to Latinos' health and ACA implementation: ( a ) the need to extend coverage to the undocumented; ( b ) the growth of Latino populations in states with limited insurance expansion; ( c ) demands on public and private systems of care; and ( d ) the need to increase the number of Latino physicians while increasing the direct patient-care responsibilities of nonphysician Latino health care workers.
language: eng
source:
identifier: ISSN: 0163-7525
fulltext: no_fulltext
issn:
  • 0163-7525
  • 1545-2093
url: Link


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descriptionThe changing Latino demographic in the United States presents a number of challenges to health care policy makers, clinicians, organizations, and other stakeholders. Studies have demonstrated that Latinos tend to have worse patterns of access to, and utilization of, health care than other ethnic and racial groups. The implementation of the Affordable Care Act (ACA) of 2010 may ameliorate some of these disparities. However, even with the ACA, it is expected that Latinos will continue to have problems accessing and using high-quality health care, especially in states that are not expanding Medicaid eligibility as provided by the ACA. We identify four current policy dilemmas relevant to Latinos' health and ACA implementation: ( a ) the need to extend coverage to the undocumented; ( b ) the growth of Latino populations in states with limited insurance expansion; ( c ) demands on public and private systems of care; and ( d ) the need to increase the number of Latino physicians while increasing the direct patient-care responsibilities of nonphysician Latino health care workers.
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abstractThe changing Latino demographic in the United States presents a number of challenges to health care policy makers, clinicians, organizations, and other stakeholders. Studies have demonstrated that Latinos tend to have worse patterns of access to, and utilization of, health care than other ethnic and racial groups. The implementation of the Affordable Care Act (ACA) of 2010 may ameliorate some of these disparities. However, even with the ACA, it is expected that Latinos will continue to have problems accessing and using high-quality health care, especially in states that are not expanding Medicaid eligibility as provided by the ACA. We identify four current policy dilemmas relevant to Latinos' health and ACA implementation: ( a ) the need to extend coverage to the undocumented; ( b ) the growth of Latino populations in states with limited insurance expansion; ( c ) demands on public and private systems of care; and ( d ) the need to increase the number of Latino physicians while increasing the direct patient-care responsibilities of nonphysician Latino health care workers.
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