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1、本科畢業(yè)論文（設(shè)計）外文翻譯外文題目NoCareftheCaregivers:DecliningHealthInsuranceCoveragefHealthCarePersonnelTheirChildren19881998外文出處PublichealthUnitedStates外文作者BradyG.S.CaseABDavidU.HimmelsteinMD，SteffieWoolhlerMDMPH原文：原文：NoCareftheCare

2、givers:DecliningHealthInsuranceCoveragefHealthCarePersonnelTheirChildren19881998TwoyearsagomeAmericanswereuninsuredthanatanyothertimeintheprevious2decadesyettheimemploymentratein1999wasthenationslowestsince1969.Becausemo

3、stAmericanssecurehealthinsurancethroughanemployeraccountingffliisparadoxhasbeenacentraltaskofhealthpolicyresearch.Explanationshavefocusedonrisingcostsofcoverageaswellasongrowingseivicesectparttimeemploymentdecliningunion

4、izationsegregationofhighlowwagewkersintodifferentfirmsshrinkingjobtenureerrintliemeasurementofcoverage.Theroleofinstitutionsofcare—hospitalsmedicalofficesnursinghomeshomecareagencies—hasreceivedlessattentiondespitethehea

5、lthcareindustrysdramaticgrowthlongstingimptanceasanemployerininnercityruralminitycommunities.Weexaminedtrendsinthehealthinsurancecoverageofpersonnelwldnginhealthestablishmentstheirchildrenoverthepastdecade.fsurveydatafth

6、eMarch1994annualCPSthereafterwereobtainedfromanupdatedsampleframewkbasedonthe1990decennialcensus.Weightsfdatapritothe1994CPSwerebasedonthe1980censusThechangehadlittleeffectonestimatesofthepercentageuninsuredbutdidalteres

7、timatesofthenumberiminsured.“RESULTSBetween19881998thenumberofuninsuredhealthcarepersonnelincreased83.4%from743000(90%CI=681000806000)to1.36million(90%CI=1.28million1.45million)theproptionuninsuredrosefrom8.4%(90%CI=7.8%

8、9.1%)to12.2%(90%CI=11.5%12.9%)(Table1).Thenumberofuninsuredwkersinotherindustriesgrewmemodestlyovertheperiodup37.8%whereastheproptionwhowereuninsuredincreasedfix)m14.7%(90%CI=14.5%15.0%)to17.9%(90%CI=17.7%18.2%).Coverage

9、ofhealthcarewkersvariedbyplaceofemploymentTwentypercent(90%CI=17.9%22.1%)ofnursinghomepersonnelwereluiinsuredin1998comparedwith8.20b(90%CI=73%9.0%)ofhospitalwkers8.7%(90%CI=7.0%10.4%)ofthoseemployedinmedicaloffices15.9%(

10、90%CI=14.3%17.4%)ofwkersatotherhealthcareestablishments.Theprivatesectaccountedfallofthegrowthinthenumberofuninsunedhealthpersonnelthenumberofuninsuredpersonnelinprivateinstitutionsroseby614000(90%CI=517000712000)a101.4%

11、inweasebetween19881998.Therelativegrowthofprivatehealtiicaieemplo5ment—38.4%comparedwitha19.6%declineinpublicemployment—contributedtothislargeincrease.Howeverariseinthepropoitionofprivatesecthealthwkereuninsured—from8.6%

12、(90%CI=78%9.3%)to12.5%(90%CI=11.7%13.3%)—accountedfmostoftheincreaseinthenumberoflumisuredprivatesecthealthpersmel.Theproptionofallpublicsecthealthpersonnelwhowereuninsuiedremainedstableat76%(90%CI=5.9%9.2%)in198878%(90%

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