The Patient Protection and Affordable Care Act and Utilization of Preventive Health Care Services Among Asian Americans in Michigan during Pre- and Post-Affordable Care Act Implementation

Journal of Community Health
Tsu-Yin Wu, Vedhika Raghunathan

Abstract

Since the implementation of the Patient Protection and Affordable Care Act (ACA), significant increases in the percent of insured United States residents has steadily increased. Studies have shown that there is an increase in preventative services usage and a decrease in chronic disease burden with increased access to insurance. However, very little has been studied about how the implementation of ACA has impacted utilization of health services and health status among Asian Americans. In this study, we recruited 427 Asian Americans who attended health fairs and examined (1) changes in health care coverage and utilization of preventive health services before and after ACA, (2) health status on chronic disease risk factors, (3) comparing health services utilization by insurance status and types of insurance, and (4) identifying relationships between health care utilization and demographic factors. Study results indicate that even though the percentage of insured Asian Americans in Michigan increased significantly over study periods, health care utilization and chronic disease burden did not change significantly. The insured tended to utilize preventive health services more than the uninsured, but the types of insurance did not af...Continue Reading

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Citations

Nov 18, 2018·International Journal of Older People Nursing·Camilla Anker-HansenSiri Tønnessen
Nov 22, 2018·Public Health Nursing·Iben AkselboIngvild Aune
Jan 24, 2019·Journal of the American Geriatrics Society·Christina A SpiveyMarie A Chisholm-Burns
Nov 16, 2018·Journal of Racial and Ethnic Health Disparities·Rachel M Nygaard, Ashley P Marek
Mar 21, 2019·Journal of Comparative Effectiveness Research·Yuefan ChenKane O Pryor
Sep 13, 2018·The International Journal of Health Planning and Management·Hanadi HamadiAaron Spaulding
Apr 3, 2019·Journal of Clinical Nursing·Elisabeth ØstensenRagnhild Hellesø
Mar 8, 2019·Journal of Medical Ethics·Diego Real de AsúaTrevor Bibler
Jul 19, 2019·Infant Mental Health Journal·Maria J LeirbakkPaula Zeanah
Jan 23, 2019·BMC Health Services Research·Melinda M DavisStephanie B Wheeler
Aug 30, 2019·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Annette RobertsenReidun Førde
Sep 10, 2020·Journal of General Internal Medicine·Patrick N O'Mahen, Laura A Petersen
May 18, 2020·Journal of Racial and Ethnic Health Disparities·Darren LiuSteven Albert

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