Derose Kathryn Pitkin, Escarce José J, Lurie Nicole
RAND, Santa Monica, California, USA.
Health Aff (Millwood). 2007 Sep-Oct;26(5):1258-68. doi: 10.1377/hlthaff.26.5.1258.
Immigrants have been identified as a vulnerable population, but there is heterogeneity in the degree to which they are vulnerable to inadequate health care. Here we examine the factors that affect immigrants' vulnerability, including socioeconomic background; immigration status; limited English proficiency; federal, state, and local policies on access to publicly funded health care; residential location; and stigma and marginalization. We find that, overall, immigrants have lower rates of health insurance, use less health care, and receive lower quality of care than U.S.-born populations; however, there are differences among subgroups. We conclude with policy options for addressing immigrants' vulnerabilities.
移民已被认定为弱势群体，但他们在医疗保健不足方面的脆弱程度存在异质性。在此，我们研究影响移民脆弱性的因素，包括社会经济背景、移民身份、英语水平有限、联邦、州和地方关于获得公共资助医疗保健的政策、居住地点以及耻辱感和边缘化。我们发现，总体而言，移民的医疗保险覆盖率较低，医疗保健使用率较低，获得的护理质量也低于美国本土人口；然而，不同亚组之间存在差异。我们最后提出了应对移民脆弱性的政策选择。
