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Health access to immigrants: identifying gaps for social protection in health

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dc.contributor.author Cabieses, Báltica
dc.contributor.author Oyarte, Marcela
dc.date.accessioned 2020-04-08T18:33:43Z
dc.date.available 2020-04-08T18:33:43Z
dc.date.issued 2020
dc.identifier.citation Cabieses, B., & Oyarte, M. (2020). Health access to immigrants: identifying gaps for social protection in health. Revista de saude publica, 54, 20. https://doi.org/10.11606/S1518-8787.2020054001501
dc.identifier.uri http://hdl.handle.net/11447/3225
dc.identifier.uri https://doi.org/10.11606/S1518-8787.2020054001501 PMCID: PMC7017981
dc.description Instituto de Ciencias e Innovación en Medicina (ICIM)
dc.description.abstract OBJECTIVE To compare the access to and effective use of health services available among international migrants and Chileans. METHODS Secondary analysis of the National Socioeconomic Characterization Survey (CASEN – Caracterización Socioeconómica Nacional ), version 2017. Indicators of access to the health system (having health insurance) and effective use of health services (perceived need, appointment or coverage, barriers and need satisfaction) were described in immigrants and local population, self-reported. Gaps by immigrant status were estimated using logistic regressions, with complex samples. RESULTS Immigrants were 7.5 times more likely to have no health insurance than local residents. Immigrants presented less perceived need than local residents, together with a greater lack of appointments (OR: 1.7 95%CI: 1.2–2.5), coverage (OR: 2.7 95%CI: 2.0–3.7) and unsatisfied need. The difference between immigrants and locals was not statistically significant in barriers to health care access (α = 0.005). CONCLUSIONS Disadvantages persist regarding the access to and use of health services by immigrants as opposed to Chileans compared with information from previous years. It is necessary to reduce the gaps between immigrants and people born in Chile, especially in terms of health system access. This is the first barrier to effective use of services. The generation of concrete strategies and health policies that consider an approach of social participation of the immigrant community is suggested to bring the health system closer to this population.
dc.language.iso en
dc.publisher Universidade De Sao Paulo. Faculdade De Higiene E Saude Publica
dc.subject Migrants
dc.subject Immigrants
dc.subject Health services accessibility
dc.subject Socioeconomic factors
dc.subject Health status disparities
dc.subject Health surveys
dc.subject Chile
dc.title Health access to immigrants: identifying gaps for social protection in health
dc.type Article


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