BACKGROUND:The Agriculture, Forestry, and Fishery (AgFF) Sector workforce in the US is comprised primarily of Latino immigrants. Health care access for these workers is limited and increases health disparities. METHODS:This article addresses health care access for immigrant workers in the AgFF Sector, and the workforce providing care to these workers. CONTENTS:Immigrant workers bear a disproportionate burden of poverty and ill health and additionally face significant occupational hazards. AgFF laborers largely are uninsured, ineligible for benefits, and unable to afford health services. The new Affordable Care Act will likely not benefit such individuals. Community and Migrant Health Centers (C/MHCs) are the frontline of health care access for immigrant AgFF workers. C/MHCs offer discounted health services that are tailored to meet the special needs of their underserved clientele. C/MHCs struggle, however, with a shortage of primary care providers and staff prepared to treat occupational illness and injury among AgFF workers. A number of programs across the US aim to increase the number of primary care physicians and care givers trained in occupational health at C/MHCs. While such programs are beneficial, substantial action is needed at the national level to strengthen and expand the C/MHC system and to establish widely Medical Home models and Accountable Care Organizations. System-wide policy changes alone have the potential to reduce and eliminate the rampant health disparities experienced by the immigrant workers who sustain the vital Agricultural, Forestry, and Fishery sector in the US.

译文

背景:美国的农业,林业和渔业(AgFF)部门的劳动力主要由拉丁裔移民组成。这些工人的医疗保健机会有限,并加剧了医疗差距。
方法:本文介绍了AgFF部门中移民工人的医疗保健途径,以及为这些工人提供护理的劳动力。
内容:移民工人承担着过多的贫困和健康不良负担,另外还面临着重大的职业危害。 AgFF劳动力大多没有保险,没有资格享受福利并且无法负担医疗服务。新的《平价医疗法案》可能不会使这些人受益。社区和移民健康中心(C / MHCs)是移民AgFF工人获得医疗保健的前线。 C / MHC提供量身定制的折扣医疗服务,以满足其服务不足的客户的特殊需求。然而,由于初级保健提供者和准备治疗AgFF工人中的职业病和伤害的工作人员短缺,C / MHCs挣扎。美国各地的许多计划旨在增加接受C / MHC职业健康培训的初级保健医生和护理人员的数量。尽管此类计划是有益的,但需要在国家层面采取实质性行动,以加强和扩展C / MHC系统,并建立广泛的医疗之家模式和责任医疗组织。仅系统范围内的政策改革就有可能减少和消除维持美国至关重要的农业,林业和渔业部门的移民工人所经历的健康问题。

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