Journal article
The Effects of the Affordable Care Act on Health Care Access and Utilization Among Asian American Subgroups
Medical care, v 57(11), pp 861-868
01 Nov 2019
PMID: 31634267
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives: We examined changes in health care access and utilization associated with the Patient Protection and Affordable Care Act (ACA) for different Asian American subgroups relative to non-Latino whites (whites). Research Design: Using 2003-2017 California Health Interview Survey data, we examined changes in 4 health care access measures and 2 utilization measures among whites and 7 Asian American subgroups. We estimated the unadjusted and adjusted percentage point changes on the absolute scale from the pre-ACA to post-ACA periods. Adjusted estimates were obtained from multivariable logistic regression models that controlled for predisposing, enabling, and need factors. We also estimated the pre-ACA to post-ACA changes between whites and Asian American subgroups using a difference-in-difference approach. Results: After the ACA was implemented, uninsurance decreased among all Asian American subgroups, but improvements in disparities relative to whites in these measures were limited. In particular, Koreans had the largest absolute reduction in uninsurance (-16.8 percentage points) and were the only subgroup with a significant reduction in terms of disparities relative to whites (-10.1 percentage points). However, little or no improvement was observed in the other 3 access measures (having a usual source of care, delayed medical care in past year, or delayed prescription drug use in past year) and 2 utilization measures (having a physician visit or emergency department visit in past year). Conclusions: Despite coverage gains among Asian American subgroups, especially Koreans, disparities in access and utilization persisted across all Asian American subgroups.
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Details
- Title
- The Effects of the Affordable Care Act on Health Care Access and Utilization Among Asian American Subgroups
- Creators
- Sungchul Park - Drexel University, Health Management and PolicyJim P. Stimpson - Drexel University, Health Management and PolicyJessie K. Pintor - Drexel Univ, Dornsife Sch Publ Hlth, Dept Hlth Management & Policy, 3125 Market St,Nesbitt Hall 3rd Floor, Philadelphia, PA 19104 USADylan H. Roby - Univ Maryland, Sch Publ Hlth, Dept Hlth Serv Adm, College Pk, MD 20742 USARyan M. McKenna - Drexel University, Health Management and PolicyJie Chen - Drexel University, Biochemistry and Molecular BiologyAlexander N. Ortega - Drexel University, Health Management and Policy
- Publication Details
- Medical care, v 57(11), pp 861-868
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000494776800006
- Scopus ID
- 2-s2.0-85072315944
- Other Identifier
- 991019167638304721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services
- Public, Environmental & Occupational Health