Uninsurance,Underinsurance, and Health Care Utilization in Mexico by US Border Residents |
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Authors: | Dejun Su William Pratt Jim P Stimpson Rebeca Wong José A Pagán |
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Institution: | 1. Center for Reducing Health Disparities, College of Public Health, University of Nebraska Medical Center, 984340 Nebraska Medical Center, Omaha, NE, 68198-4340, USA 2. Department of Finance, Clarion University of Pennsylvania, Clarion, PA, USA 3. Department of Health Services Research and Administration, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA 4. Sealy Center on Aging, University of Texas Medical Branch (UTMB), Galveston, TX, USA 5. Department of Health Management and Policy, School of Public Health, University of North Texas Health Science Center, Fort Worth, TX, USA 6. Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA
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Abstract: | Using data from the 2008 Cross-Border Utilization of Health Care Survey, we examined the relationship between United States (US) health insurance coverage plans and the use of health care services in Mexico by US residents of the US-Mexico border region. We found immigrants were far more likely to be uninsured than their native-born counterparts (63 vs. 27.8 %). Adults without health insurance coverage were more likely to purchase medications or visit physicians in Mexico compared to insured adults. However, adults with Medicaid coverage were more likely to visit dentists in Mexico compared to uninsured adults. Improving health care access for US residents in the southwestern border region of the country will require initiatives that target not only providing coverage to the large uninsured population but also improving access to health care services for the large underinsured population. |
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