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Inequities in immigrants’ access to health care services: disentangling potential barriers

Carlo Devillanova (Bocconi University and Dondena, Milano, Italy) (Centre for Research and Analysis on Migration (CReAM), London, UK)
Tommaso Frattini (University of Milan and Centro Studi Luca d’Agliano (LdA), Milan, Italy) (Centre for Research and Analysis on Migration (CReAM), London, UK) (IZA, Bonn, Germany)

International Journal of Manpower

ISSN: 0143-7720

Article publication date: 3 October 2016

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Abstract

Purpose

The purpose of this paper is to empirically assess whether immigrants suffer from unequal access to health care services, that add to prevailing socioeconomic barriers to care.

Design/methodology/approach

Using a uniquely rich Italian health survey, the authors estimate the correlation between immigrant status and the probability of accessing health services, conditional on a rich set of individual and territorial characteristics.

Findings

Results show that foreigners are more likely to contact emergency services and less likely to visit specialist doctors and use preventive care. Similar results hold for second-generation immigrants.

Originality/value

The authors discuss the sources of observed inequities and suggest tentative policy implications to promote equal access.

Keywords

Acknowledgements

Carlo Devillanova initiated this research while supervising Cora Signorotto’s dissertation, “Immigrants’ access to and use of health care services: The case of Italy.” The authors thank Cora for insightful discussions, as well as Ross MacMillan, Simone Ghislandi, Damiano Canale and seminar participants at Doremee (Dondena, Bocconi University), Eupha 2012, and SIE 2012 for helpful comments and suggestions. The usual disclaimer applies.

Citation

Devillanova, C. and Frattini, T. (2016), "Inequities in immigrants’ access to health care services: disentangling potential barriers", International Journal of Manpower, Vol. 37 No. 7, pp. 1191-1208. https://doi.org/10.1108/IJM-08-2015-0114

Publisher

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Emerald Group Publishing Limited

Copyright © 2016, Emerald Group Publishing Limited

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