Assessing Health Care Services Used By California's Undocumented Immigrant Population In 2010
Assessing Health Care Services Used By California's Undocumented Immigrant Population In 2010
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DOI：
10.1377/hlthaff.2013.0615
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发表时间：
2014-05-01
期刊：
影响因子：
9.7
通讯作者：
Ponce, Ninez
中科院分区：
文献类型：
--
作者：
Pourat, Nadereh;Wallace, Steven P.;Ponce, Ninez
无证移民被排除在《平价医疗法案》创建的健康福利市场之外，部分原因是他们声称会造成高费用和急诊室 (ED) 拥挤等问题。本文探讨了 2009-10 年加州无证移民可能的医疗保健使用情况和费用。使用 2009 年加州健康访谈调查 (CHIS) 的数据，我们开发了一个模型来估计该州的成人和儿童无证移民人口，因为该调查没有明确询问无证身份。该调查还提供了上一年的保险状况、医生就诊和急诊就诊的信息。我们发现，与美国公民和其他移民群体相比，加州的无证移民以及其中没有保险的人看医生、急诊就诊和使用预防性服务的次数较少或相似。允许无证移民在市场购买保险并确保获得低成本的预防服务可以有助于降低保费并减轻安全网提供者的资源压力。
Undocumented immigrants were excluded from the health benefit Marketplaces created by the Affordable Care Act partly because of claims that they contribute to problems such as high costs and emergency department (ED) crowding. This article examines the likely health care use and costs of undocumented immigrants in California in 2009-10. Using data from the 2009 California Health Interview Survey (CHIS), we developed a model that estimated the state's adult and child undocumented immigrant population, since the survey does not explicitly inquire about undocumented status. The survey also provided information on insurance status, doctor visits, and ED visits in the previous year. We found that undocumented immigrants in California, and the uninsured among them, had fewer or similar numbers of doctor visits, ED visits, and preventive services use compared to US citizens and other immigrant groups. Allowing undocumented immigrants to purchase insurance in the Marketplaces and ensuring receipt of low-cost preventive services can contribute to lower premiums and reduce resource strains on safety-net providers.