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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
economics, econometrics and finance
Health care utilization by immigrants in Italy
International Journal of Health Care Finance and Economics, Volume 13, No. 1, Year 2013
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Description
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. © 2012 Springer Science+Business Media New York.
Authors & Co-Authors
De Luca, Giuliana
Italy, Rende
Università Della Calabria
Ponzo, Michela
Italy, Naples
Università Degli Studi Di Napoli Federico Ii
Rodríguez-Andrés, Antonio
Morocco, Ifrane
Al Akhawayn University
Statistics
Citations: 64
Authors: 3
Affiliations: 3
Identifiers
Doi:
10.1007/s10754-012-9119-9
ISSN:
13896563
e-ISSN:
15736962
Research Areas
Health System And Policy
Study Design
Cross Sectional Study
Study Approach
Quantitative