Uneven Integration: Local Government Integration Policies and Filipino Residents in Nagoya City, Japan

Sioson, Erica Paula

doi:10.1002/app5.190

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…Practically, it is difficult to track referred patient and to check whether they contacted the formal health-care system. Under the government plan for “Promotion of Multicultural Coexistence,” various NGOs, along with local governments, are expected to take a role in addressing livability issues for foreign residents [ 44 ]. To ensure access to health-care among foreign residents, better communication between NGOs and the formal health care system is required.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with access to health care among foreign residents living in Aichi Prefecture, Japan: secondary data analysis

Higuchi

Endo

Yoshino

2021

Int J Equity Health

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Background In Japan, foreign residents, and particularly new arrivals in the country, experience barriers to health care and show poorer health outcomes when compared to Japanese nationals. The health-care-related situation for foreign residents in Japan has been characterized by drastic changes over time; thus, there is difficulty identifying individuals who are “left behind” by the system. In this study, we aimed to identify, among foreign residents who attended informal free medical consultations, factors associated with “being advised to visit a medical facility” and “being referred to a medical facility,” which represented hypothetical proxy indicators of barriers to health care. Methods Secondary data analyses were conducted using the activity records of a non-governmental organization that provides free consultations targeting foreign residents in various locations in Aichi Prefecture, Japan. Participant characteristics, including insurance coverage, were determined. Bivariate and multi-variate analyses were performed to identify factors associated with having barriers to health care. Results Among 608 extracted cases, 164 (27.5%) cases were advised to visit a medical facility, and 72 (11.8%) were referred to a medical facility during the consultations. Those who were not covered by public insurance showed a 1.56-time (95% confidence interval [CI]: 1.19–2.05) higher prevalence of being advised to visit a medical facility when compared to those who were covered by public insurance. Unemployed people and students were more likely to be referred to a medical facility than were professional workers; the prevalence ratios were 3.28 (95% CI: 1.64–6.57) and 2.77 (95% CI: 1.18–6.46), respectively. Conclusions Although the majority were insured, almost 30% were advised to visit a medical facility, which implied that they had had limited access to the formal health-care system before availing of the free consultations. The findings highlight those uninsured, unemployed people and students, who are considered vulnerable to access to health care. It is vital to provide those who are vulnerable with the necessary support while updatinge evidence, so that no one is “left behind.”

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Section: Discussionmentioning

confidence: 99%

Factors associated with access to health care among foreign residents living in Aichi Prefecture, Japan: secondary data analysis

Higuchi

Endo

Yoshino

2021

Int J Equity Health

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show abstract

“…Practically, it is di cult to track referred patient and to check whether they contacted the formal health-care system. Under the government plan for "Promotion of Multicultural Coexistence," various NGOs, along with local governments, are expected to take a role in addressing livability issues for foreign residents (35); however, to ensure access to health care among foreign residents, better communication between NGOs and the formal health-care system is required.…”

Section: Discussionmentioning

confidence: 99%

Associated factors of access to health care among foreign residents living in Aichi Prefecture, Japan: Secondary data analysis of informal free consultations organized by a non-governmental organization

Higuchi

Endo

Ito

2020

Preprint

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Background In Japan, foreign residents, and particularly new arrivals in the country, experience barriers to health care and show poorer health outcomes when compared to Japanese nationals. The health-care-related situation for foreign residents in Japan has been characterized by drastic changes over time; thus, there is difficulty identifying individuals who are “left behind” by the system. In this study, we aimed to identify, among foreign residents who attended informal free medical consultations, factors associated with “being advised to visit a medical facility” and “being referred to a medical facility,” which represented hypothetical proxy indicators of barriers to health care. Methods Secondary data analyses were conducted using the activity records of a non-governmental organization that provides free consultations targeting foreign residents in various locations in Aichi Prefecture, Japan. Participant characteristics, including insurance coverage, were determined. Bivariable and multi-variable analyses were performed to identify factors associated with having barriers to health care. Results Among 608 extracted cases, 81.7% were covered by Japanese public insurance, and insurance coverage was associated with sex and region of origin. During the consultations, 164 (27.5%) cases were advised to visit a medical facility, and 72 (11.8%) were referred to a medical facility. Those who were not covered by public insurance showed a 1.56-times (95% confidence interval [CI]: 1.19–2.05) higher prevalence of being advised to visit a medical facility when compared to those who were covered by public insurance. Unemployed people and students were more likely to be referred to a medical facility than were professional workers; the prevalence ratios were 3.28 (95% CI: 1.64–6.57) and 2.77 (95% CI: 1.18–6.46), respectively. Conclusions Information from the non-governmental organization revealed the diversity of foreign residents who require informal health-care-related consultations. Although the majority were insured, almost 30% were advised to visit a medical facility, which implied that they had had limited access to the formal health-care system before availing of the free consultations. The findings highlight specific groups who may be vulnerable, and it is important to provide these groups with the necessary support, based on updated evidence, to ensure that no one is “left behind.”

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English for the Tokyo 2020 Olympics: Revisiting multicultural language issues and reforms

Vilog

2021

Asian Englishes

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Uneven Integration: Local Government Integration Policies and Filipino Residents in Nagoya City, Japan

Cited by 4 publications

References 12 publications

Factors associated with access to health care among foreign residents living in Aichi Prefecture, Japan: secondary data analysis

Factors associated with access to health care among foreign residents living in Aichi Prefecture, Japan: secondary data analysis

Associated factors of access to health care among foreign residents living in Aichi Prefecture, Japan: Secondary data analysis of informal free consultations organized by a non-governmental organization

English for the Tokyo 2020 Olympics: Revisiting multicultural language issues and reforms

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