Valeria Marina Valle, Wilma Laura Gandoy Vázquez, Karla Angélica Valenzuela Moreno
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引用次数: 4
Abstract
The 2010 Affordable Care Act (ACA) improved access to healthcare in the United States. However, immigrants —especially those undocumented— still faced difficulties, which have increased during the Trump administration. In order to bring access to health services to its nationals, the Mexican government has implemented the Health Windows Program (Ventanillas de Salud, or VDS). The article reviews changes in the U.S. healthcare system from the ACA to date, and assesses the role of VDS. The methodology is qualitative, consisting of a literature review, interviews with community leaders and Mexican government officials, and questionnaires sent to four VDS: Arizona, Florida, Idaho and Texas. Results show that VDS provide reliable and affordable access to basic healthcare services, and detection of chronic and non-communicable diseases, especially within undocumented immigrants. Public policy recommendations are offered based on these findings. Limitations of the study include the data collected, which is non-representative of all VDS.
2010年平价医疗法案(ACA)改善了美国医疗保健的可及性。然而,移民,尤其是那些无证移民,仍然面临着困难,这种困难在特朗普执政期间有所增加。为了使国民能够获得卫生服务,墨西哥政府实施了卫生窗口方案(Ventanillas de Salud,简称VDS)。本文回顾了ACA至今美国医疗保健系统的变化,并评估了VDS的作用。该方法是定性的,包括文献综述、与社区领袖和墨西哥政府官员的访谈,以及向亚利桑那州、佛罗里达州、爱达荷州和德克萨斯州这四个VDS发送的调查问卷。结果表明,VDS提供了可靠和负担得起的基本医疗保健服务,并检测了慢性和非传染性疾病,特别是在无证移民中。公共政策建议是基于这些发现提出的。本研究的局限性包括所收集的数据不具有所有VDS的代表性。
期刊介绍:
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.