Post-COVID19 strategies to support the health care interactions of U.S. Mexican immigrants and return migrants with the Mexican health system.
Post-COVID19 strategies to support the health care interactions of U.S. Mexican immigrants and return migrants with the Mexican health system.
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DOI：
10.1016/j.jmh.2023.100170
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发表时间：
2023
影响因子：
4.6
通讯作者：
Bustamante, Arturo V.
中科院分区：
文献类型：
--
作者：
Bustamante, Arturo V.
与美国出生的人口相比，在美国的墨西哥移民不充分利用医疗保健和经历低质量护理的可能性是美国出生人口的两倍。现在和以前在美国的墨西哥移民都在墨西哥使用医疗服务，因为成本更低，感知质量，文化熟悉，以及两国的地理位置接近。本研究旨在描述当前和以前的美国墨西哥移民与墨西哥卫生系统的公共和私人卫生保健组织的不同卫生保健互动，并确定改善covid - 19后卫生保健互动的策略。我们使用跨境患者流动的类型学来分析促进因素和障碍，以改善当前和以前的美国墨西哥移民与墨西哥卫生系统的卫生保健互动。我们的政策分析框架检查了如何通过各种配置或独立变量的组合来实现结果。主要结果变量是改善美国墨西哥移民和返回移民与墨西哥卫生系统中不同政府机构和公共和私人卫生保健提供者的卫生保健互动。主要的解释变量是可得性、可负担性、熟悉程度、卫生保健的感知质量和卫生保险的类型。随着墨西哥卫生系统从covid - 19大流行中恢复过来，可以考虑将现有和以前的美国墨西哥移民融入墨西哥卫生系统的新战略，例如扩大远程医疗服务，为跨国患者使用的卫生服务制定监管框架，使返回移民的登记程序更加灵活，并指导返回移民重新融入墨西哥卫生系统。由于人口老龄化，美国墨西哥移民与墨西哥卫生系统的卫生保健互动在未来几十年可能会增加。针对美国墨西哥移民和返回移民的独特需求的监管改进和项目可以大大改善他们与墨西哥卫生系统的卫生保健互动。
Mexican migrants in the United States (U.S.) are twice more likely to underutilize health care and to experience low quality of care compared to the U.S.-born population. Current and former Mexican migrants in the U.S have used health services in Mexico due to lower cost, perceived quality, cultural familiarity, and the geographic proximity of the two countries. This study aims to characterize the different health care interactions of current and former U.S. Mexican migrants with public and private health care organizations of the Mexican health system and to identify strategies to improve health care interactions post-COVID19. We use a typology of cross-border patient mobility to analyze the facilitators and barriers to improve the health care interactions of current and former U.S. Mexican migrants with the Mexican health system. Our policy analysis framework examines how an outcome can be achieved by various configurations or combinations of independent variables. The main outcome variable is the improvement of health care interactions of U.S. Mexican migrants and return migrants with different government agencies and public and private health care providers in the Mexican health system. The main explanatory variables are availability, affordability, familiarity, perceived quality of health care and type of health coverage. As the Mexican health system emerges from the COVID19 pandemic, new strategies to integrate current and former U.S. Mexican migrants to the Mexican health system could be considered such as the expansion of telehealth services, a regulatory framework for health services used by transnational patients, making enrollment procedures more flexible for return migrants and guiding return migrants as they reintegrate to the Mexican health system. The health care interactions of U.S. Mexican migrants with the Mexican health system are likely to increase in the upcoming decades due to population ageing. Regulatory improvements and programs that address the unique needs of U.S. Mexican migrants and return migrants could substantially improve their health care interactions with the Mexican health system.
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影响因子：
4.5
作者：
González-Block MA;de la Sierra-de la Vega LA
通讯作者：
de la Sierra-de la Vega LA
影响因子：
2.7
作者：
Bustamante, Arturo Vargas;Chen, Jie;Ortega, Alexander N.
通讯作者：
Ortega, Alexander N.
DOI：
10.1001/virtualmentor.2012.14.4.stas1-1204
发表时间：
2012-04-01
期刊：
The virtual mentor : VM
影响因子：
--
作者：
Bustamante, Arturo Vargas;Van der Wees, Philip J
通讯作者：
Van der Wees, Philip J
影响因子：
5.7
作者：
Bustamante, Arturo Vargas;Fang, Hai;Ortega, Alexander N.
通讯作者：
Ortega, Alexander N.
影响因子：
1.9
作者：
Bustamante, Arturo Vargas;Fang, Hai;Garza, Jeremiah;Carter-Pokras, Olivia;Wallace, Steven P.;Rizzo, John A.;Ortega, Alexander N.
通讯作者：
Ortega, Alexander N.