The New Hampshire Public Health Association (NHPHA) supports universal access to a high quality, evidence-based, integrated health care at a level of cost that does not create barriers to care. Priorities include:
· Coordinate private, state and federal efforts into a seamless system of health care and social services as one ages.
· Assure access to medical insurance through either private or public programs. If there is to be phasing of universal insurance coverage, priority should be given to coverage of all children.
· Fund public health promotion and disease prevention activities that are demonstrated to reduce medical care costs.
· Assure first dollar coverage for evidence-based preventive services.
· Assure a medical home for individuals/families to coordinate care.
· Assure that co-pays and deductibles do not provide economic barriers to care.
· Monitor and reduce disparities in health outcomes among geographic areas as well as populations.
· Provide culturally sensitive medical care with appropriate outreach and interpretive services for minority populations.
Resources:
Gee Gilbert C, Andrew Ryan, David J. Laflamme and Jeanie Holt. “Self-Reported Discrimination and Mental Health Status Among African Descendants, Mexican Americans, and Other Latinos in the New Hampshire REACH 2010 Initiative: The Added Dimension of Immigration,”
American Journal of Public Health 96:10 (October 2006) 1821-1828.
http://nhhealthequity....0012006AJPH.pdfFlores, Glenn and Sandra C. Tomany-Korman, “The Language Spoken at Home and Disparities in Medical and Dental Health, Access to Care, and Use of Services in US Children,”
Pediatrics 121:6 (June 2008) e1703-e1714.
http://pediatrics.aapp...int/121/6/e1703.
New Hampshire Minority Health Coalition. “Access New Hampshire: Final Evaluation Report,” (November 20, 2006). http://nhhealthequity....006AccessNH.pdf
