Using the USA Framework to Meet the Needs of the Poor in our Communities

Denise M Pralle
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Abstract

Within the United States, the number of people living in poverty continues to grow [1] and despite improvements in health care access due to the Affordable Care Act, those living in poor households continue to have disparities in access and health outcomes [2]. Although lack of education and insurance benefits may play a small part in these statistics, the working poor report more barriers to accessing preventative care and are less likely to receive care than those living above the poverty line [3,4]. Sadly, Bloch et al. [5] also found that primary care providers “lack...understanding of the lived reality of poverty” and have “prejudicial attitudes” which lead to “a failure to collect adequate data about patients’ social circumstances and to the development of inappropriate plans of care” (p. 1).
使用美国框架来满足我们社区穷人的需求
在美国,生活在贫困中的人数继续增加[b],尽管《负担得起的医疗法案》改善了获得保健服务的机会,但生活在贫困家庭的人在获得保健服务和保健结果方面仍然存在差距[b]。虽然缺乏教育和保险福利可能在这些统计数据中发挥了很小的作用,但与生活在贫困线以上的人相比,工作贫困人口在获得预防性保健方面存在更多障碍,并且接受护理的可能性更小[3,4]。可悲的是,Bloch等人也发现初级保健提供者“缺乏……对贫困生活现实的理解”和“偏见态度”,导致“未能收集有关患者社会环境的充分数据并制定不适当的护理计划”(第1页)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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