The Role of Clinics in Determining Older Recent Immigrants’ Use of Health Services
- 93 Downloads
Immigrants are ineligible for federally-funded Medicaid in the U.S. until at least 5 years after arrival. There is little information on where they receive care in light of this restriction. Using Blinder–Oaxaca decomposition, this study examines whether the setting in which older recent immigrants receive care (i.e., health clinic, emergency room or doctor’s office) explains delays in care. Among older adults with a usual source of care, 13.5% of recent immigrants had not seen a health professional in the past year compared to 8.6% of non-recent immigrants and 6.3% of native-born. Approximately 23% of these differences is attributable to recent immigrants’ tendency to receive care in clinics and community health centers. Even when older recent immigrants manage to find a usual source of care, it is of lower quality than that received by their non-recent immigrant and native-born counterparts.
KeywordsClinics Migration Health policy Aging
This study was funded by a pilot grant from the NewCourtland Center for Transitions and Health (no grant number) [to Alma Vega] and the National Institute on Aging (P01AG022481) [to Emma Aguila].
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflicts of interest.
The Institutional Review Board at the authors’ home institution exempted this research from review.
Research Involving Human and Animal Participants
This article does not contain any studies with human participants performed by
any of the authors.
- 2.Fortuny K, Chaudry A. A comprehensive review Of immigrant access to health and human services. The Urban Institute. 2011. https://aspe.hhs.gov/basic-report/comprehensive-review-immigrant-access-health-and-human-services.
- 10.Gidengil CA, Mehrotra A, Beach S, Setodji C, Hunter G, Linder JA. What drives variation in antibiotic prescribing for acute respiratory infections?. J Gen Intern Med. 2016:1–7.Google Scholar
- 13.Centers For Disease Control And Prevention. Age-adjusted rates of diagnosed diabetes per 100 civilian non-institutionalized population, by race and sex, United States, 1980–2014. Atlanta: Author; 2015.Google Scholar
- 14.Centers for Disease Control and Prevention. Heart disease facts. Author. 2014. http://www.cdc.gov/heartdisease/facts.htm.
- 15.National Center for Health Statistics. Health, United States, 2015: with special feature on racial and ethnic disparities. 2016. http://www.cdc.gov/nchs/data/hus/hus15.pdf-022.
- 17.Parsons VL, Moriarty C, Jonas K, Moore TF, Davis KE, Tompkins L. Design and estimation for the National Health Interview Survey, 2006-2015. National Center For Health Statistics. 2014. http://www.cdc.gov/nchs/data/series/sr_02/sr02_165.pdf.
- 19.Centers for Disease Control and Prevention. National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011. 2011. https://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf.
- 21.Ries LAG, Harkins D, Krapcho M, Mariotto A, Miller B, Feuer E, et al. SEER cancer statistics review: Table I-11 Median Age Of Cancer Patients At Diagnosis, 2000-2003. National Cancer Institute. 2006. http://seer.cancer.gov/archive/csr/1975_2003/results_single/sect_01_table.11_2pgs.pdf.
- 22.Campos Horta M, Tienda M. Of work and the welfare state: labor market activity of mexican origin seniors. In: Vega WA, Markides K, Angel JL, Torres-Gil FM, eds. Challenges of Latino aging in the Americas. New York: Springer Science; 2015. pp. 49–76.Google Scholar
- 23.U.S. Department of Health And Human Services. Healthy people 2020: topics and objectives, older adults. Author. 2014. https://www.healthypeople.gov/2020/topics-objectives/topic/older-adults/objectives.
- 24.Munnell AH. What is the average retirement age? Center for Retirement Research at Boston College. 2011. http://crr.bc.edu/wp-content/uploads/2011/08/ib_11-11-508.pdf.
- 27.U.S. Department of Health and Human Services. 2013 National Health Interview Survey (NHIS) public use dataset: survey description. U.S. Department of Health and Human Services. 2014. ftp://ftp.cdc.gov/pub/health_statistics/nchs/dataset_documentation/nhis/2013/srvydesc.pdf.
- 29.Šidák Z. Rectangular confidence regions for the means of multivariate normal distributions. J Am Stat Assoc. 1967;62(318):626–33.Google Scholar
- 30.Fairlie RW. an extension of the blinder-oaxaca decomposition technique to logit and probit models. J Econ Soc Meas. 2005;30(4):305–16.Google Scholar
- 31.Passel JS. Unauthorized migrants: numbers and characteristics. Pew Hispanic Center. 2005. http://www.pewhispanic.org/files/reports/46.pdf.
- 32.Rosenbaum SJ, Shin P, Jones E, Tolbert J. Community health centers: opportunities and challenges of health reform. The Henry J. Kaiser Family Foundation. 2010. http://hsrc.himmelfarb.gwu.edu/cgi/viewcontent.cgi?article=1195&context=sphhs_policy_facpubs.
- 33.Wallace SP, Torres J, Sadeph-Nobari T, Pourat N, Brown ER. Undocumented immigrants and health care reform. UCLA Center for Health Policy Research. 2012. http://healthpolicy.ucla.edu/publications/documents/pdf/undocumentedreport-aug2013.pdf.