Immigrants and health care: Sources of vulnerability
Immigrants and health care: Sources of vulnerability
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DOI：
10.1377/hlthaff.26.5.1258
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发表时间：
2007-09-01
期刊：
影响因子：
9.7
通讯作者：
Lurie, Nicole
中科院分区：
文献类型：
--
作者：
Derose, Kathryn Pitkin;Escarce, Jose J.;Lurie, Nicole
移民已被确定为弱势群体，但他们在保健服务不足方面的脆弱程度各不相同。在这里，我们研究影响移民的脆弱性的因素，包括社会经济背景;移民身份;有限的英语能力;联邦，州和地方政策，获得公共资助的医疗保健;居住地点;和耻辱和边缘化。我们发现，总体而言，移民的医疗保险率较低，使用较少的医疗保健，并且获得的医疗质量低于美国。出生人口;然而，各亚群体之间存在差异。最后，我们提出了解决移民脆弱性的政策选择。
Immigrants have been identified as a vulnerable population, but there is heterogeneity in the degree to which they are vulnerable to inadequate health care. Here we examine the factors that affect immigrants' vulnerability, including socioeconomic background; immigration status; limited English proficiency; federal, state, and local policies on access to publicly funded health care; residential location; and stigma and marginalization. We find that, overall, immigrants have lower rates of health insurance, use less health care, and receive lower quality of care than U.S.-born populations; however, there are differences among subgroups. We conclude with policy options for addressing immigrants' vulnerabilities.