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Immigrants and Health Care Access, Quality, and Cost
Kathryn Pitkin Derose*,
Benjamin W. Bahney,
Nicole Lurie,
and
José J. Escarce
* To whom correspondence should be addressed. E-mail: derose{at}rand.org.
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Abstract |
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Inadequate access and poor quality care for immigrants could have serious consequences for their health and that of the overall U.S. population. The authors conducted a systematic search for post-1996, population-based studies of immigrants and health care. Of the 1,559 articles identified, 67 met study criteria of which 77% examined access, 27% quality, and 6% cost. Noncitizens and their children were less likely to have health insurance and a regular source of care and had lower use than the U.S. born. The foreign born or non-English speakers were less satisfied and reported lower ratings and more discrimination. Immigrants incurred lower costs than the U.S. born, except emergency department expenditures for immigrant children. Policy solutions are needed to improve health care for immigrants and their children. Research is needed to elucidate immigrants’ nonfinancial barriers, receipt of specific processes of care, cost of care, and health care experiences in nontraditional U.S. destinations.
First published on January 29, 2009, doi:10.1177/1077558708330425
Medical Care Research and Review 2009;66:355.
A more recent version of this article appeared on August 1, 2009
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