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Title

Racial and Ethnic Disparities in Health Care Access and Utilization Under the Affordable Care Act (Medical Care)

Publication Topics

Access to Health Care; Barriers to/Disparities in Health Care; Health Insurance Coverage and Programs; Health Care Reform; Health Care Economics; Costs of Care for the Uninsured; Cost and Utilization Studies; Uninsured; Hispanic/Latino; African-American

Publication Type

Journal Article

Publication Date

2016-02-01T08:00:00Z

Author 1

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=700&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=700&RootFolder=*">Jie Chen</a>

Author 2

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=570&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=570&RootFolder=*">Arturo Vargas Bustamante, PhD, MA, MPP</a>

Author 3

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1514&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1514&RootFolder=*">Karoline Mortensen</a>

Author 4

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=69&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=69&RootFolder=*">Alexander N. Ortega</a>

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Abstract

The implementation of the ACA (year indicator 2014) is associated with significant reductions in the probabilities of being uninsured, delaying any necessary care, forgoing any necessary care, and a significant increase in the probability of having any physician visits, compared with the reference year 2011 (passage of the ACA). Interaction terms between the 2014 year indicator and race/ethnicity demonstrate that uninsured rates decreased more substantially among non-Latino African Americans (African Americans)  and Latinos compared with non-Latino whites. Latinos were less likely than whites to delay or forgo any necessary care and were more likely to have physician visits in 2014. The association between year indicator of 2014 and the probability of having any emergency department visits is not significant.

Health care access and insurance coverage are major factors that contributed to racial and ethnic disparities before the ACA implementation. Our results demonstrate that racial and ethnic disparities in access have been reduced significantly during the initial years of the ACA implementation that expanded access and mandated that individuals obtain health insurance.

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Journal Article: Racial and Ethnic Disparities in Health Care Access and Utilization Under the Affordable Care Act

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Created at 1/29/2018 7:27 AM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 1/29/2018 7:30 AM by i:0#.f|uclachissqlmembershipprovider|celeste