J Health Care Poor Underserved. 2021;32(4):1653-1674. doi: 10.1353/hpu.2021.0158.
Foreign-born people encounter disproportionate health care access barriers compared with U.S.-born adults. Few studies in the past decade have examined how characteristics of foreign-born people influence access to health care.
An integrative review regarding health care access for foreign-born people was conducted using Whittemore and Knafl's framework. Andersen's behavioral model of health care utilization was used to explain the findings. We searched electronic databases and identified 33 peerreviewed papers for inclusion.
The reviewed articles represented a broad spectrum of research evaluating health care access. Barriers to health care access for foreign-born people are multifactorial and driven by insurance status, citizenship, immigration status, and English language proficiency.
Future research must comprehensively examine the unmet health needs and predictors of access among foreign-born people.
与美国本土出生的成年人相比，外国出生的人在获得医疗保健方面面临着不成比例的障碍。在过去的十年中，很少有研究探讨外国出生的人的特征如何影响他们获得医疗保健的机会。
采用 Whittemore 和 Knafl 的框架，对外国出生的人获得医疗保健的情况进行了综合回顾。利用安德森的医疗保健利用行为模型来解释研究结果。我们搜索了电子数据库，确定了 33 篇同行评议论文纳入研究。
综述文章涵盖了广泛的研究，评估了外国出生的人获得医疗保健的机会。外国出生的人获得医疗保健的障碍是多方面的，由保险状况、公民身份、移民身份和英语水平决定。
未来的研究必须全面研究外国出生的人未满足的健康需求和获得医疗保健的预测因素。
