Redressing the Limitations of the Affordable Care Act for Mexican Immigrants Through Bi-National Health Insurance: A Willingness to Pay Study in Los Angeles

González-Block, Miguel Ángel; Bustamante, Arturo Vargas; Sierra, Luz A. De la; Cardoso, Aresha Martínez

doi:10.1007/s10903-012-9712-5

Cited by 18 publications

(17 citation statements)

References 18 publications

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“…Therefore, researchers have investigated disparities in health care access and utilization between US-born Mexican Americans and Mexican immigrants according to documentation status (7, 17, 45, 93, 105, 133, 135). These studies have found trends of improving access and utilization as legal status changes—for instance, going from being undocumented to having a permanent visa to being a citizen—for Latinos of Mexican origin as well as for other Latinos (93).…”

Section: Health Care Access and Utilization Trends For Latinosmentioning

confidence: 99%

“…Another study found that Mexican immigrants in the United States return to Mexico regularly to receive hospital care for serious illnesses as a response to having limited access to care in the United States (44). The main predictors of health care use in Mexico are health need, lack of health insurance coverage in the United States, employment status, delays in seeking care, more recent immigration, limited English proficiency, and the need for prescription drugs (45, 131, 137). Additionally, cultural factors, such as language and providers’ attitudes, influence decisions about whether to utilize health care south of the border (128, 138).…”

Section: Primary Care Integration and The Health Of Latinosmentioning

confidence: 99%

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Policy Dilemmas in Latino Health Care and Implementation of the Affordable Care Act

Ortega

Rodríguez

Bustamante

2015

Annu. Rev. Public Health

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178

125

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The changing Latino demographic in the United States presents a number of challenges to health care policy makers, clinicians, organizations, and other stakeholders. Studies have demonstrated that Latinos tend to have worse patterns of access to, and utilization of, health care than other ethnic and racial groups. The implementation of the Affordable Care Act (ACA) of 2010 may ameliorate some of these disparities. However, even with the ACA, it is expected that Latinos will continue to have problems accessing and using high-quality health care, especially in states that are not expanding Medicaid eligibility as provided by the ACA. We identify four current policy dilemmas relevant to Latinos’ health and ACA implementation: (a) the need to extend coverage to the undocumented; (b) the growth of Latino populations in states with limited insurance expansion; (c) demands on public and private systems of care; and (d) the need to increase the number of Latino physicians while increasing the direct patient-care responsibilities of nonphysician Latino health care workers.

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Section: Health Care Access and Utilization Trends For Latinosmentioning

confidence: 99%

Section: Primary Care Integration and The Health Of Latinosmentioning

confidence: 99%

Policy Dilemmas in Latino Health Care and Implementation of the Affordable Care Act

Ortega

Rodríguez

Bustamante

2015

Annu. Rev. Public Health

Self Cite

178

125

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“…Moreover, reliance on private clinics and pharmacies would place return migrants at increased risk of incurring catastrophic medical expenses and going without medical care, especially preventative treatment (Galárraga, Sosa-Rubí, Salinas-Rodríguez, & Sesma-Vázquez, 2010; King et al, 2009). Recent cross-border research shows that Mexican immigrants in the United States who return home expressly to seek medical care are heavily dependent on private clinics, rather than those affiliated with IMSS, ISSSTE, or Seguro Popular (González-Block, Bustamante, Sierra, & Cardoso, 2014; González-Block & Sierra-de la Vega, 2011). Research using Mexico's National Survey of Migration on the Northern Frontier shows that deported migrants have especially low access to care, which is exacerbated by poor self-rated health (Fernández-Niño, Ramírez-Valdés, Cerecero-Garcia, & Bojorquez-Chapela, 2014).…”

Section: Introductionmentioning

confidence: 99%

Uninsured migrants: Health insurance coverage and access to care among Mexican return migrants

Wassink¹

2018

DemRes

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Background Despite an expansive body of research on health and access to medical care among Mexican immigrants in the United States, research on return migrants focuses primarily on their labor market mobility and contributions to local development. Objective Motivated by recent scholarship that documents poor mental and physical health among Mexican return migrants, this study investigates return migrants' health insurance coverage and access to medical care. Methods I use descriptive and multivariate techniques to analyze data from the 2009 and 2014 rounds of Mexico's National Survey of Demographic Dynamics (ENADID, combined n=632,678). Results Analyses reveal a large and persistent gap between recent return migrants and non-migrants, despite rising overall health coverage in Mexico. Multivariate analyses suggest that unemployment among recent arrivals contributes to their lack of insurance. Relative to non-migrants, recently returned migrants rely disproportionately on private clinics, pharmacies, self-medication, or have no regular source of care. Mediation analysis suggests that returnees' high rate of uninsurance contributes to their inadequate access to care. Conclusion This study reveals limited access to medical care among the growing population of Mexican return migrants, highlighting the need for targeted policies to facilitate successful reintegration and ensure access to vital resources such as health care.

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“…This is an anonymous and free Italian code that irregular/undocumented migrants can obtain in order to access health services. It is valid for 6 months and renewable and ensures equal access to all "urgent and essential" care for irregular/undocumented migrants [44].…”

Section: Migrants' Features According To Regularity Statementioning

confidence: 99%

“…The educational level was high in both groups. Employment and educational status are likely to have an impact on migrants' health outcomes [45] in the long term [44]. Signiicant diferences were found between regular/ documented and irregular/undocumented migrants as far as the following variables are concerned: Being under the care of a psychiatrist and treated with psychiatric medications, which were both more common in the former than in the later.…”

Section: Migrants' Features According To Regularity Statementioning

confidence: 99%

Suicidal Behaviors in Patients Admitted to Emergency Department for Psychiatric Consultation: A Comparison of the Migrant and Native Italian Populations Between 2008 and 2015

Gramaglia¹,

Gambaro²,

Bert³

et al. 2017

People's Movements in the 21st Century - Risks, Challenges and Benefits

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In recent decades, Italy has become a desirable destination for immigrants. In 2014, ive million people (8.2% of the population) were migrants (regular/irregular, documented/ undocumented). This study looks at psychiatric health, an important feature especially for irst-generation migrants and compares the new setlers with the native Italians. It should be noted that the organization of mental health services in Italy strongly relies on outpatient services, while the psychiatric wards, within the general hospitals, usually accommodate patients in acute phases of their disorder. Nonetheless, migrants' irst contact often happens in a psychiatry ward when they are in a severe and acute psychopathological condition. Research methods: Quantitative and qualitative; longitudinal research using oicial statistical and clinical data obtained from records of a public hospital as well as information obtained through professional interview. Results: In relation to mental health, we found that the migrant patients referred for psychiatric consultation to the emergency department (ED) seting were younger, less frequently treated by psychiatric outpatient services, more commonly going to the ED for self-injury and presenting with symptoms of substance abuse and alcohol-related disorders. The native Italian population was older, more frequently retired and/or invalid, more frequently already treated by psychiatric outpatient services for any kind of psychiatric symptoms.Conclusion: The comparison of the sociodemographic and clinical features of immigrants and Italians referred for psychiatric consultation in the ED highlighted some diferences.Implications are discussed in the light of the existing literature.

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Redressing the Limitations of the Affordable Care Act for Mexican Immigrants Through Bi-National Health Insurance: A Willingness to Pay Study in Los Angeles

Cited by 18 publications

References 18 publications

Policy Dilemmas in Latino Health Care and Implementation of the Affordable Care Act

Policy Dilemmas in Latino Health Care and Implementation of the Affordable Care Act

Uninsured migrants: Health insurance coverage and access to care among Mexican return migrants

Suicidal Behaviors in Patients Admitted to Emergency Department for Psychiatric Consultation: A Comparison of the Migrant and Native Italian Populations Between 2008 and 2015

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