Wong Rebeca, Díaz Juan José, Higgins Monica
University of Maryland.
GRADE, Perú.
Res Aging. 2006 May;28(3):393-408. doi: 10.1177/0164027505285922. Epub 2006 May 1.
The authors sought to contribute to public policy on U.S. immigrants by comparing patterns of health care use among the Mexican-origin population aged 70 and older in the United States and Mexico. They studied the role of health insurance in the propensity to have doctor visits and hospitalizations, controlling for aspects of health and the economic and sociodemographic characteristics of individuals. The authors found that the elderly of Mexican origin in the United States were more likely to be hospitalized than those in Mexico, regardless of health insurance. However, in the absence of health insurance, visits to doctors were more likely in Mexico than in the United States. The results indicate that although in both countries, the availability of health insurance is associated with a higher propensity to use any health care services, a lack of health insurance may have more negative consequences for primary health care in the United States than in Mexico.
作者试图通过比较美国和墨西哥70岁及以上墨西哥裔人口的医疗保健使用模式，为美国移民的公共政策提供参考。他们研究了医疗保险在就医和住院倾向中的作用，同时控制了健康状况以及个人的经济和社会人口特征等因素。作者发现，无论有无医疗保险，美国的墨西哥裔老年人比墨西哥的墨西哥裔老年人更有可能住院。然而，在没有医疗保险的情况下，墨西哥人看医生的可能性比美国人更高。结果表明，虽然在两国，医疗保险的可获得性都与使用任何医疗保健服务的较高倾向相关，但缺乏医疗保险对美国初级医疗保健的负面影响可能比墨西哥更大。
