Unequal Access and Use of Health Care Services among Settled Immigrants, Recent Immigrants, and Locals: A Comparative Analysis of a Nationally Representative Survey in Chile
Journal
International Journal of Environmental Research and Public Health
ISSN
1660-4601
Date Issued
2022
Author(s)
Marcela Oyarte
Manuel Espinoza
Edward Mezones-Holguin
Type
Resource Types::text::journal::journal article
URL Institutional Repository
Abstract
<jats:p>Globally, and particularly in the Latin American region, international migration continues to grow. Access and use of health care services by migrants vary according to their country of origin and residence time. We aimed to compare the access and use of health care services between international migrants (including settled migrants from Peru, Argentina, Bolivia, Ecuador; Emerging migrants from Venezuela, Dominican Republic, Colombia, Haiti; and migrants from other countries) and the Chilean population. After performing a secondary data analysis of population-based nationally representative surveys (CASEN 2011–2017), access and use patterns (insurance, complementary insurance, non-consultation, and non-treatment coverage) were described and compared among settled immigrants, recent emerging immigrants, others, and locals. Immigrants had a significantly higher uninsured population compared to locals. Specifically, in CASEN 2017, 19.27% of emerging (95% CI: 15.3–24.1%), 11.79% of settled (95% CI: 10.1–13.7%), and 2.25% of locals (95% CI: 2.1–2.4%) were uninsured. After 2013, settled and recent emerging migrants showed higher percentages of non-consultation. Collaborative and interculturally relevant strategies from human rights and equity perspectives are needed. Initiatives with a particular focus on recent immigrants can contribute to reducing the existing disparities in health care access and use with locals due to lack of insurance and treatment coverage.</jats:p>
Cite this document
Oyarte, M., Cabieses, B., Rada, I., Blukacz, A., Espinoza, M., & Mezones-Holguin, E. (2022). Unequal access and use of health care services among settled immigrants, recent immigrants, and locals: A comparative analysis of a nationally representative survey in chile. International Journal of Environmental Research and Public Health, 20(1), 741. https://doi.org/10.3390/ijerph20010741
Subjects
accessibility
;
chile
;
health inequalities
;
health systems
;
latin america
;
migration
;
bolivia
;
chile
;
emigrants and immigrants
;
health services
;
health services accessibility
;
humans
;
chile
;
latin america
;
accessibility
;
acculturation
;
comparative study
;
health care
;
health services
;
human rights
;
immigrant population
;
international migration
;
service provision
;
argentina
;
article
;
bolivia
;
chile
;
chilean
;
colombia
;
data analysis
;
dominican republic
;
ecuador
;
haiti
;
health care access
;
health survey
;
human
;
human rights
;
immigrant
;
insurance
;
medically uninsured
;
migrant
;
peru
;
south and central america
;
venezuela
;
chile
;
epidemiology
;
health care delivery
;
health service
;
migrant