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Is the use of emergency care appropriate? Comparing native and migrant infants in the Italian NHS

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  • Cottini, Elena
  • Lucifora, Claudio
  • Turati, Gilberto
  • Vigani, Daria

Abstract

We study the differences in utilization patterns of Emergency Room (ER) services by infants – babies between 0-1 years of age – comparing natives and migrants. We use administrative data relative to the Metropolitan area of Milan (Italy), involving more than 45,000 babies and covering the years 2015–2016. The main findings point to a higher propensity to use ER services by migrants, who are also associated with a higher risk of inappropriate admissions. This also holds after controlling for selection effects and excluding trauma episodes. When we explore the potential mechanisms driving these results, we find that linguistic and cultural distance between natives and migrants is a key factor in explaining the higher and inappropriate use of emergency care. Conversely, supply-side factors do not seem to play a relevant role. These findings suggest that integration policies aimed for instance at increasing the language proficiency of immigrants would help improve the appropriate use of emergency care.

Suggested Citation

  • Cottini, Elena & Lucifora, Claudio & Turati, Gilberto & Vigani, Daria, 2024. "Is the use of emergency care appropriate? Comparing native and migrant infants in the Italian NHS," Journal of Economic Behavior & Organization, Elsevier, vol. 227(C).
    • Handle: RePEc:eee:jeborg:v:227:y:2024:i:c:s016726812400324x
    DOI: 10.1016/j.jebo.2024.106710
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    References listed on IDEAS

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    1. Giuntella, Osea & Nicodemo, Catia & Vargas-Silva, Carlos, 2018. "The effects of immigration on NHS waiting times," Journal of Health Economics, Elsevier, vol. 58(C), pages 123-143.
    2. Deborah A. Cobb-Clark & Nicolás Salamanca & Anna Zhu, 2019. "Parenting style as an investment in human development," Journal of Population Economics, Springer;European Society for Population Economics, vol. 32(4), pages 1315-1352, October.
    3. Carlo Devillanova & Tommaso Frattini, 2016. "Inequities in immigrants’ access to health care services: disentangling potential barriers," International Journal of Manpower, Emerald Group Publishing Limited, vol. 37(7), pages 1191-1208, October.
    4. Alexander, Diane & Currie, Janet & Schnell, Molly, 2019. "Check up before you check out: Retail clinics and emergency room use," Journal of Public Economics, Elsevier, vol. 178(C).
    5. William Greene, 2004. "Distinguishing between heterogeneity and inefficiency: stochastic frontier analysis of the World Health Organization's panel data on national health care systems," Health Economics, John Wiley & Sons, Ltd., vol. 13(10), pages 959-980, October.
    6. Philip Q. Yang & Shann Hwa Hwang, 2016. "Explaining Immigrant Health Service Utilization," SAGE Open, , vol. 6(2), pages 21582440166, May.
    7. Isphording, Ingo E. & Otten, Sebastian, 2014. "Linguistic barriers in the destination language acquisition of immigrants," Journal of Economic Behavior & Organization, Elsevier, vol. 105(C), pages 30-50.
    8. Deborah A. Cobb-Clark & Nicolás Salamanca & Anna Zhu, 2020. "Correction to: Parenting style as an investment in human development," Journal of Population Economics, Springer;European Society for Population Economics, vol. 33(4), pages 1523-1524, October.
    9. Janet Currie & Mark Stabile & Phongsack Manivong & Leslie L. Roos, 2010. "Child Health and Young Adult Outcomes," Journal of Human Resources, University of Wisconsin Press, vol. 45(3).
    10. Sørensen, Torben H. & Olsen, Kim R. & Gyrd-Hansen, Dorte, 2009. "Differences in general practice initiated expenditures across Danish local health authorities--A multilevel analysis," Health Policy, Elsevier, vol. 92(1), pages 35-42, September.
    11. Bradley, Cathy J. & Neumark, David & Walker, Lauryn Saxe, 2018. "The effect of primary care visits on other health care utilization: A randomized controlled trial of cash incentives offered to low income, uninsured adults in Virginia," Journal of Health Economics, Elsevier, vol. 62(C), pages 121-133.
    12. Janet Currie, 2020. "Child health as human capital," Health Economics, John Wiley & Sons, Ltd., vol. 29(4), pages 452-463, April.
    13. Mauricio Reis, 2014. "Public primary health care and children’s health in Brazil: evidence from siblings," Journal of Population Economics, Springer;European Society for Population Economics, vol. 27(2), pages 421-445, April.
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    Keywords

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    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • J15 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Minorities, Races, Indigenous Peoples, and Immigrants; Non-labor Discrimination

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