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
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Volume (Year): 13 (2013)
Issue (Month): 1 (March)
|Contact details of provider:|| Web page: http://www.springer.com|
|Order Information:||Web: http://www.springer.com/public+health/journal/10754/PS2|
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Muñoz de Bustillo, Rafael & Antón, José-Ignacio, 2009.
"Health care utilization and immigration in Spain,"
12382, University Library of Munich, Germany.
- Del Boca, Daniela & Venturini, Alessandra, 2003.
IZA Discussion Papers
938, Institute for the Study of Labor (IZA).
- 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.
- 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.
- 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.
- George France & Francesco Taroni & Andrea Donatini, 2005. "The Italian health-care system," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages 187-202.
- Vuong, Quang H, 1989. "Likelihood Ratio Tests for Model Selection and Non-nested Hypotheses," Econometrica, Econometric Society, vol. 57(2), pages 307-333, March.
- Wagstaff, Adam, 1986. "The demand for health : Some new empirical evidence," Journal of Health Economics, Elsevier, vol. 5(3), pages 195-233, September.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- Grossman, Michael, 1982. "The demand for health after a decade," Journal of Health Economics, Elsevier, vol. 1(1), pages 1-3, May.
- Hugo Benitez-Silva & Moshe Buchinsky & Hiu Man Chan & Sofia Cheidvasser & John Rust, 2000.
"How Large is the Bias in Self-Reported Disability?,"
2000-01, Brown University, Department of Economics.
- 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 is Self-Reported Disability?," NBER Working Papers 7526, National Bureau of Economic Research, Inc.
- 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.
- 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.
- 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).
- 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 223-255, March-Apr.
- 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.
- 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.
- 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.
When requesting a correction, please mention this item's handle: RePEc:kap:ijhcfe:v:13:y:2013:i:1:p:1-31. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Sonal Shukla)or (Rebekah McClure)
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.