Muennig Peter, Fahs Marianne C
Sophie Davis School of Biomedical Education, City University of New York, 138th Street & Convent Avenue, New York, NY 10032, USA.
Prev Med. 2002 Sep;35(3):225-31. doi: 10.1006/pmed.2002.1072.
This paper examines hospital utilization, estimated hospital costs, and mortality rates for U.S.-born, foreign-born, and Puerto Rican-born persons residing in New York City.
We conducted a multivariate regression analysis using New York City neighborhoods as the unit of analysis. We utilized data from the Statewide Planning and Research Cooperative System data set and from the 1997 Housing and Vacancy Survey. We also examined mortality rates using 1990 death certificate data and decennial census data.
The foreign-born are much less likely to be hospitalized for most major categories of illness and have lower mortality rates than either U.S.-born or Puerto Rican-born New Yorkers. The life expectancy at 1 year of age of the foreign-born is 4 years longer than for U.S.-born persons and 6 years longer than Puerto Rican-born persons. We estimate that the overall cost of providing hospital-based care to the foreign-born was $611 million US dollars less than the cost of providing hospital-based care to an equivalent number of U.S.-born persons in 1996.
The foreign-born in New York City appear to be healthier and consume fewer hospital resources than U.S.-born populations. It is possible that the cost of hospital utilization would be lower still if the foreign-born population had better access to ambulatory and preventive services.
本文研究了居住在纽约市的美国本土出生、外国出生及波多黎各出生人群的医院利用率、估计的医院成本和死亡率。
我们以纽约市社区为分析单位进行了多元回归分析。我们使用了全州规划与研究合作系统数据集以及1997年住房与空置调查的数据。我们还利用1990年死亡证明数据和十年一次的人口普查数据研究了死亡率。
在大多数主要疾病类别中，外国出生的人住院的可能性要小得多，并且死亡率低于美国本土出生或波多黎各出生的纽约人。外国出生人群1岁时的预期寿命比美国本土出生的人长4岁，比波多黎各出生的人长6岁。我们估计，1996年为外国出生人群提供医院护理的总成本比为同等数量的美国本土出生人群提供医院护理的成本少6.11亿美元。
纽约市的外国出生人群似乎比美国本土出生人群更健康，消耗的医院资源更少。如果外国出生人群能更好地获得门诊和预防服务，医院利用率的成本可能会更低。
