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Health care usage among immigrants and native-born elderly populations in eleven European countries: results from SHARE

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  • Aïda Solé-Auró
  • Montserrat Guillén
  • Eileen Crimmins

Abstract

Differences in health care utilization of immigrants 50 years of age and older relative to the native-born populations in eleven European countries are investigated. Negative binomial and zero-inflated Poisson regression are used to examine differences between immigrants and native-borns in number of doctor visits, visits to general practitioners, and hospital stays using the 2004 Survey of Health, Ageing, and Retirement in Europe database. In the pooled European sample and in some individual countries, older immigrants use from 13 to 20% more health services than native-borns after demographic characteristics are controlled. After controlling for the need for health care, differences between immigrants and native-borns in the use of physicians, but not hospitals, are reduced by about half. These are not changed much with the incorporation of indicators of socioeconomic status and extra insurance coverage. Higher country-level relative expenditures on health, paying physicians a fee-for-service, and physician density are associated with higher usage of physician services among immigrants. Copyright Springer-Verlag 2012

Suggested Citation

  • Aïda Solé-Auró & Montserrat Guillén & Eileen Crimmins, 2012. "Health care usage among immigrants and native-born elderly populations in eleven European countries: results from SHARE," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(6), pages 741-754, December.
    • Handle: RePEc:spr:eujhec:v:13:y:2012:i:6:p:741-754
    DOI: 10.1007/s10198-011-0327-x
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    1. Claudio Lucifora & Daria Vigani, 2018. "Health care utilization at retirement: The role of the opportunity cost of time," Health Economics, John Wiley & Sons, Ltd., vol. 27(12), pages 2030-2050, December.
    2. Constant, Amelie F. & Milewski, Nadja, 2021. "Self-selection in physical and mental health among older intra-European migrants," The Journal of the Economics of Ageing, Elsevier, vol. 19(C).
    3. Sofia Xesfingi & Dimitrios Karamanis & Alexandra Kechrinioti, 2020. "Subjective Health Status and Immigration: Evidence across Europe," SPOUDAI Journal of Economics and Business, SPOUDAI Journal of Economics and Business, University of Piraeus, vol. 70(1-2), pages 3-19, January-J.
    4. Christian Dustmann & Giovanni Facchini & Cora Signorotto, 2015. "Population, Migration, Ageing and Health: A Survey," RF Berlin - CReAM Discussion Paper Series 1518, Rockwool Foundation Berlin (RF Berlin) - Centre for Research and Analysis of Migration (CReAM).
    5. Fátima Barbosa & Sara Simões Dias & Gina Voss & Alice Delerue Matos, 2023. "The Longitudinal Association between Co-Residential Care Provision and Healthcare Use among the Portuguese Population Aged 50 and Over: A SHARE Study," IJERPH, MDPI, vol. 20(5), pages 1-14, February.
    6. Amelie F. Constant & Teresa García-Muñoz & Shoshana Neuman & Tzahi Neuman, 2018. "A “healthy immigrant effect” or a “sick immigrant effect”? Selection and policies matter," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(1), pages 103-121, January.
    7. Jens Detollenaere & Stijn Baert & Sara Willems, 2018. "Association between cultural distance and migrant self-rated health," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(2), pages 257-266, March.
    8. Gabriella Berloffa & Francesca Paolini, 2022. "Going "beyond the mean" in analysing immigrant health disparities," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 47(7), pages 161-198.
    9. Bousmah, Marwân-al-Qays & Combes, Jean-Baptiste Simon & Abu-Zaineh, Mohammad, 2019. "Health differentials between citizens and immigrants in Europe: A heterogeneous convergence," Health Policy, Elsevier, vol. 123(2), pages 235-243.
    10. Younsook Yeo, 2017. "Healthcare inequality issues among immigrant elders after neoliberal welfare reform: empirical findings from the United States," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(5), pages 547-565, June.

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