Health status and hospital utilization of recent immigrants to New York City
Health status and hospital utilization of recent immigrants to New York City
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DOI：
10.1006/pmed.2002.1072
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发表时间：
2002-09-01
影响因子：
5.1
通讯作者：
Davis, S
中科院分区：
文献类型：
--
作者：
Muennig, P;Fahs, MC;Davis, S
背景。本文研究了居住在纽约市的美国出生、外国出生和波多黎各出生者的医院利用率、估计医院费用和死亡率。方法。我们使用纽约市社区作为分析单位进行了多元回归分析。我们利用了全州规划和研究合作系统数据集以及 1997 年住房和空置调查中的数据。我们还使用 1990 年死亡证明数据和十年一次的人口普查数据检查了死亡率。结果。与美国出生或波多黎各出生的纽约人相比，外国出生的人因大多数主要疾病住院的可能性要小得多，死亡率也较低。外国出生的人一岁时的预期寿命比美国出生的人长 4 年，比波多黎各出生的人长 6 年。我们估计，1996 年为外国出生的人提供医院护理的总成本比为同等数量的美国出生的人提供医院护理的成本低 6.11 亿美元。结论。与美国出生的人口相比，纽约市的外国出生人口似乎更健康，消耗的医院资源也更少。如果外国出生的人口能够更好地获得流动和预防服务，那么医院的使用成本可能会更低。 (C) 2002 年美国健康基金会和爱思唯尔科学（美国）。
Background. This paper examines hospital utilization, estimated hospital costs, and mortality rates for U.S.-born, foreign-born, and Puerto Rican-born persons residing in New York City.Methods. We conducted a multivariate regression analysis using New York City neighborhoods as the unit of analysis. We utilized data from the Statewide Planning and Research Cooperative System data set and from the 1997 Housing and Vacancy Survey. We also examined mortality rates using 1990 death certificate data and decennial census data.Results. The foreign-born are much less likely to be hospitalized for most major categories of illness and have lower mortality rates than either U.S.-born or Puerto Rican-born New Yorkers. The life expectancy at 1 year of age of the foreign-born is 4 years longer than for U.S.-born persons and 6 years longer than Puerto Rican-born persons. We estimate that the overall cost of providing hospital-based care to the foreign-born was $611 million dollars less than the cost of providing hospital-based care to an equivalent number of U.S.-born persons in 1996.Conclusion. The foreign-born in New York City appear to be healthier and consume fewer hospital resources than U.S.-born populations. It is possible that the cost of hospital utilization would be lower still if the foreign-born population had better access to ambulatory and preventive services. (C) 2002 American Health Foundation and Elsevier Science (USA).