Just a question of time? Explaining non-take-up of a public health insurance program designed for undocumented immigrants living in France.

IF 3 3区医学 Q2 HEALTH POLICY & SERVICES

Health Economics Policy and Law Pub Date : 2023-01-01 DOI:10.1017/S1744133122000159

P Dourgnon, F Jusot, A Marsaudon, J Sarhiri, J Wittwer

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引用次数: 1

Abstract

State Medical Aid is a public health insurance program that allows undocumented immigrants with low financial resources to access health care services for free. However, the low take-up rate of this program might threaten its efficiency. The purpose of this study is therefore to provide the determinants of such a low take-up rate. To this end, we rely on the Premier Pas survey. This is an original representative sample of undocumented immigrants attending places of assistance to vulnerable populations in France. Determinants of State Medical Aid take-up are analyzed through probit and Cox modeling. The results show that only 51% of those who are eligible for the State Medical Aid program are actually covered, and this proportion is higher among women than among men. The length of stay in France is the most important determinant of take-up. It is worth noting that State Medical Aid take-up is not associated with chronic diseases or functional limitations and is negatively associated with poor mental health. There is, therefore, mixed evidence of health selection into the program. Informational barriers and vulnerabilities experienced by undocumented immigrants are likely to explain this low take-up.

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只是时间问题?解释为居住在法国的无证移民设计的公共健康保险方案不被接受的原因。

国家医疗援助是一项公共健康保险方案，允许财政资源不足的无证移民免费获得医疗保健服务。然而，该计划的低采用率可能会威胁到其效率。因此，本研究的目的是提供如此低的吸收率的决定因素。为此，我们依靠Premier Pas的调查。这是一个原始的无证移民的代表性样本，他们参加了法国的弱势群体援助场所。通过probit和Cox模型分析了国家医疗救助占用的决定因素。结果表明，只有51%有资格享受国家医疗援助方案的人实际上得到了保障，而且这一比例在妇女中高于男子。在法国停留的时间长短是决定入学与否的最重要因素。值得注意的是，接受国家医疗援助与慢性病或功能限制无关，而与精神健康状况不佳负相关。因此，有各种各样的证据表明，健康选择纳入了该计划。无证移民经历的信息障碍和脆弱性可能解释了这种低接受率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Economics Policy and Law HEALTH POLICY & SERVICES-

CiteScore

5.30

自引率

0.00%

发文量

期刊介绍： International trends highlight the confluence of economics, politics and legal considerations in the health policy process. Health Economics, Policy and Law serves as a forum for scholarship on health policy issues from these perspectives, and is of use to academics, policy makers and health care managers and professionals. HEPL is international in scope, publishes both theoretical and applied work, and contains articles on all aspects of health policy. Considerable emphasis is placed on rigorous conceptual development and analysis, and on the presentation of empirical evidence that is relevant to the policy process.