Improving Health Care for the Future Uninsured in Los Angeles County: A Community-Partnered Dialogue.
Ethn Dis
; 25(4): 487-94, 2015 Nov 05.
Article
em En
| MEDLINE
| ID: mdl-26675541
ABSTRACT
OBJECTIVE:
To understand the health care access issues faced by Los Angeles (LA) County's uninsured and residually uninsured after implementation of the Affordable Care Act (ACA) and to identify potential solutions using a community-partnered dialogue.DESIGN:
Qualitative study using a community-partnered participatory research framework.SETTING:
Community forum breakout discussion. DISCUSSANTS Representatives from LA County health care agencies, community health care provider organizations, local community advocacy and service organizations including uninsured individuals, and the county school district. MAIN OUTCOMEMEASURES:
Key structural and overarching value themes identified through community-partnered pile sort, c-coefficients measuring overlap between themes.RESULTS:
Five overarching value themes were identified - knowledge, trust, quality, partnership, and solutions. Lack of knowledge and misinformation were identified as barriers to successful enrollment of the eligible uninsured and providing health care to undocumented individuals. Discussants noted dissatisfaction with the quality of traditional sources of health care and a broken cycle of trust and disengagement. They also described inherent trust by the uninsured in "outsider" community-based providers not related to quality.CONCLUSIONS:
Improving health care for the residually uninsured after ACA implementation will require addressing dissatisfaction in safety-net providers, disseminating knowledge and providing health care through trusted nontraditional sources, and using effective and trusted partnerships between community and health care agencies with mutual respect. Community-academic partnerships can be a trusted conduit to discuss issues related to the health care of vulnerable populations.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pessoas sem Cobertura de Seguro de Saúde
/
Serviços de Saúde Comunitária
/
Parcerias Público-Privadas
/
Patient Protection and Affordable Care Act
/
Acessibilidade aos Serviços de Saúde
Tipo de estudo:
Diagnostic_studies
/
Qualitative_research
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Ethn Dis
Assunto da revista:
CIENCIAS SOCIAIS
/
SAUDE PUBLICA
Ano de publicação:
2015
Tipo de documento:
Article