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Title

The Effects of the Affordable Care Act on Health Care Access and Utilization Among Asian American Subgroup (Medical Care)

Publication Topics

California Health Interview Survey; 2003 California Dental Survey (CDS 2003); 2005 California Health Interview Survey (CHIS 2005); 2007 California Health Interview Survey (CHIS 2007); 2009 California Health Interview Survey (CHIS 2009); 2011 California Health Interview Survey (CHIS 2011); 2012 California Health Interview Survey (CHIS 2012); 2013 California Health Interview Survey (CHIS 2013); 2014 California Health Interview Survey (CHIS 2014); 2015 California Health Interview Survey (CHIS 2015); 2016 California Health Interview Survey (CHIS 2016); 2017 California Health Interview Survey (CHIS 2017); Access to Health Care; Barriers to/Disparities in Health Care; Uninsured; Health Insurance Coverage and Programs; Asian

Publication Type

CHIS Journal Article

Publication Date

2019-11-01T07:00:00Z

Author 1

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1655&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1655&RootFolder=*">Sungchul Park</a>

Author 2

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=202&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=202&RootFolder=*">Dylan H. Roby, PhD</a>

Author 3

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=151&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=151&RootFolder=*">et al</a>

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Abstract

Authors 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). They examined changes in 4 health care access measures and 2 utilization measures among whites and 7 Asian American subgroups using 2003–2017 California Health Interview Survey (CHIS) data. They estimated the unadjusted and adjusted percentage point changes on the absolute scale from the pre-ACA to post-ACA periods. They also estimated the pre-ACA to post-ACA changes between whites and Asian American subgroups using a difference-in-difference approach. Findings:

  • 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).

 Despite coverage gains among Asian American subgroups, especially Koreans, disparities in access and utilization persisted across all Asian American subgroups.

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Journal Article: The Effects of the Affordable Care Act on Health Care Access and Utilization Among Asian American Subgroup

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Press Release

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California Health Interview Survey (CHIS)

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Version: 3.0
Created at 11/10/2019 2:29 PM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 11/10/2019 2:41 PM by i:0#.f|uclachissqlmembershipprovider|celeste