Health care utilization by immigrants in Italy
Healthcare utilization studies show how well documented disparities between migrants and non-migrants. Reducing such disparities is a major goal in European countries. However, healthcare utilization among Italian immigrants is under-studied. The objective of this study is to explore differences in healthcare use between immigrant and native Italians. Cross-sectional study using the latest available (2004/2005) Italian Health Conditions Survey. We estimated separate hurdle binomial negative regression models for GP, specialist, and telephone consultations and a logit model for emergency room (ER) use. We used logistic regression and zero-truncated negative binomial regression to model the zero (contact decision) and count processes (frequency decisions) respectively. Adjusting for risk factors, immigrants are significantly less likely to use healthcare services with 2.4 and 2.7 % lower utilization probability for specialist and telephone consultations, respectively. First- and second-generation immigrants’ probability for specialist and telephone contact is significantly lower than natives’. Immigrants, ceteris paribus, have a much higher probability of using ERs than natives (0.7 %). First-generation immigrants show a higher probability of visiting ERs (1 %). GP visits show no significant difference. In conclusion Italian immigrants are much less likely to use specialist healthcare and medical telephone consultations than natives but more likely to use ERs. Hence, we report an over-use of ERs and under-utilization of preventive care among immigrants. We recommend improved health policies for immigrants: promotion of better information dissemination among them, simplification of organizational procedures, better communications between providers and immigrants, and an increased supply of health services for the most disadvantaged populations. Copyright Springer Science+Business Media New York 2013
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Volume (Year): 13 (2013)
Issue (Month): 1 (March)
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- S Birch & J Eyles & KM Newbold, 1993. "Equitable Access to Health Care: Methodological Extensions to the Analysis of Physician Utilization in Canada," Centre for Health Economics and Policy Analysis Working Paper Series 1993-03, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
- Grossman, Michael, 1982. "The demand for health after a decade," Journal of Health Economics, Elsevier, vol. 1(1), pages 1-3, May.
- Nolan, Anne, 2012. "The ‘healthy immigrant’ effect: initial evidence for Ireland," Health Economics, Policy and Law, Cambridge University Press, vol. 7(03), pages 343-362, July.
- Deb, Partha & Trivedi, Pravin K., 2002. "The structure of demand for health care: latent class versus two-part models," Journal of Health Economics, Elsevier, vol. 21(4), pages 601-625, July.
- Pedro Pita Barros & Isabel Medalho Pereira, 2009.
"Health Care and Health Outcomes of Migrants: Evidence from Portugal,"
Human Development Research Papers (2009 to present)
HDRP-2009-28, Human Development Report Office (HDRO), United Nations Development Programme (UNDP), revised Jul 2009.
- Pedro Pita Barros & Isabel Medalho Pereira, 2010. "Health Care and Health Outcomes of Migrants: Evidence from Portugal," CEFAGE-UE Working Papers 2010_04, University of Evora, CEFAGE-UE (Portugal).
- Pita Barros, Pedro & Medalho Pereira, Isabel, 2009. "Health Care and Health Outcomes of Migrants: Evidence from Portugal," MPRA Paper 18201, University Library of Munich, Germany.
- Muñoz de Bustillo, Rafael & Antón, José-Ignacio, 2009.
"Health care utilization and immigration in Spain,"
12382, University Library of Munich, Germany.
- D. Fabbri & C. Monfardini, 2002.
"Public Vs. Private Health Care Services Demand in Italy,"
457, Dipartimento Scienze Economiche, Universita' di Bologna.
- Daniele Fabbri & Chiara Monfardini, 2003. "Public vs. Private Health Care Services Demand in Italy," Giornale degli Economisti, GDE (Giornale degli Economisti e Annali di Economia), Bocconi University, vol. 62(1), pages 93-123, April.
- Sisira Sarma & Wayne Simpson, 2006. "A microeconometric analysis of Canadian health care utilization," Health Economics, John Wiley & Sons, Ltd., vol. 15(3), pages 219-239.
- Nauenberg, Eric & Laporte, Audrey & Shen, Leilei, 2011. "Social capital, community size and utilization of health services: A lagged analysis," Health Policy, Elsevier, vol. 103(1), pages 38-46.
- Joao M.C. Santos Silva & Frank Windmeijer, 1999.
"Two-part multiple spell models for health care demand,"
IFS Working Papers
W99/02, Institute for Fiscal Studies.
- Santos Silva, Joao M. C. & Windmeijer, Frank, 2001. "Two-part multiple spell models for health care demand," Journal of Econometrics, Elsevier, vol. 104(1), pages 67-89, August.
- Hugo Benitez-Silva & Moshe Buchinsky & Hiu Man Chan & Sofia Cheidvasser & John Rust, 2000.
"How Large is the Bias is Self-Reported Disability?,"
NBER Working Papers
7526, National Bureau of Economic Research, Inc.
- Hugo Benítez-Silva & Moshe Buchinsky & Hiu Man Chan & Sofia Cheidvasser & John Rust, 2004. "How large is the bias in self-reported disability?," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 19(6), pages 649-670.
- Hugo Benitez-Silva & Moshe Buchinsky & Hiu Man Chan & Sofia Cheidvasser & John Rust, 2000. "How Large is the Bias in Self-Reported Disability?," Working Papers 2000-01, Brown University, Department of Economics.
- Dunlop, Sheryl & Coyte, Peter C. & McIsaac, Warren, 2000. "Socio-economic status and the utilisation of physicians' services: results from the Canadian National Population Health Survey," Social Science & Medicine, Elsevier, vol. 51(1), pages 123-133, July.
- Del Boca, Daniela & Venturini, Alessandra, 2003.
IZA Discussion Papers
938, Institute for the Study of Labor (IZA).
- Gerdtham, Ulf-G. & Trivedi, Pravin K., 2000.
"Equity in Swedish Health Care Reconsidered: New Results based on the Finite Mixture Model,"
SSE/EFI Working Paper Series in Economics and Finance
365, Stockholm School of Economics.
- Ulf-G. Gerdtham & Pravin K. Trivedi, 2001. "Equity in Swedish health care reconsidered: new results based on the finite mixture model," Health Economics, John Wiley & Sons, Ltd., vol. 10(6), pages 565-572.
- Guillermina Jasso & Douglas S. Massey & Mark R. Rosenzweig & James P. Smith, 2004.
"Immigrant health: selectivity and acculturation,"
IFS Working Papers
W04/23, Institute for Fiscal Studies.
- Wagstaff, Adam, 1986. "The demand for health : Some new empirical evidence," Journal of Health Economics, Elsevier, vol. 5(3), pages 195-233, September.
- George France & Francesco Taroni & Andrea Donatini, 2005. "The Italian health-care system," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages S187-S202.
- Vuong, Quang H, 1989. "Likelihood Ratio Tests for Model Selection and Non-nested Hypotheses," Econometrica, Econometric Society, vol. 57(2), pages 307-33, March.
- Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-55, March-Apr.
- Winfried Pohlmeier & Volker Ulrich, 1995. "An Econometric Model of the Two-Part Decisionmaking Process in the Demand for Health Care," Journal of Human Resources, University of Wisconsin Press, vol. 30(2), pages 339-361.
- Stephen Birch & John Eyles & K. Bruce Newbold, 1993. "Equitable access to health care: Methodological extensions to the analysis of physician utilization in Canada," Health Economics, John Wiley & Sons, Ltd., vol. 2(2), pages 87-101, 07.
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